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Individual e-Filing PIN Application Form

This document is an application form for an individual e-filing PIN number from the Inland Revenue Board of Malaysia. It requests the applicant's name, identification number, income tax number, correspondence address, telephone number, signature, and identification number of the applicant or representative. If applying on behalf of a taxpayer, it requires a written consent from the taxpayer as well as copies of the identification documents of both the taxpayer and representative.

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Azreen Izzaty
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0% found this document useful (0 votes)
165 views1 page

Individual e-Filing PIN Application Form

This document is an application form for an individual e-filing PIN number from the Inland Revenue Board of Malaysia. It requests the applicant's name, identification number, income tax number, correspondence address, telephone number, signature, and identification number of the applicant or representative. If applying on behalf of a taxpayer, it requires a written consent from the taxpayer as well as copies of the identification documents of both the taxpayer and representative.

Uploaded by

Azreen Izzaty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CP55D [2/2016]

LEMBAGA HASIL DALAM NEGERI MALAYSIA


BORANG PERMOHONAN NOMBOR PIN e-FILING INDIVIDU
APPLICATION FORM FOR INDIVIDUAL e-FILING PIN NUMBER

Nama
1
Name

No. Pengenalan
2
Identification No.
(Kad Pengenalan Baru / Polis /
Tentera / Pasport)
(New IC / Police / Army / Passport)

No. Cukai Pendapatan


3
Income Tax Number

Alamat Surat-Menyurat
4
Correspondence Address

Poskod Bandar
Postcode Town
Negeri
State

No. Telefon
5
Telephone Number

Tandatangan Pemohon / Wakil


Signature of Applicant / Representative

Nama Pemohon / Wakil


Name of Applicant / Representative

No. Pengenalan Pemohon / Wakil


Identification Number of Applicant / Representative

Tarikh
Date

 Jika wakil membuat permohonan bagi pihak * If this application is made on behalf of the taxpayer,
pembayar cukai, sila kemukakan : please enclose :
- surat kebenaran daripada pembayar cukai - a written consent from the taxpayer
- salinan pengenalan diri pembayar cukai - a copy of taxpayer’s identification document
- salinan pengenalan diri wakil - a copy of representative’s identification document

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