(To be filled out by BIR) DLN: __________________________

BIR Form No.

Republic of the Philippines
Department of Finance
Bureau of Internal Revenue
Application for Registration 1902
July 2021 (ENCS) P1

For Individuals Earning Purely Compensation Income - - - 0 0 0 0 0

(Local and Alien Employee) New TIN to be issued, if applicable (To be filled out by BIR)
Fill in all applicable white spaces. Mark all appropriate boxes with an “X”
1 BIR Registration Date 2 PhilSys Card Number (PCN)
(To be filled out by BIR) (MM/DD/YYYY)
Part I - Taxpayer/Employee Information
3 Taxpayer Identification Number (TIN) 4 RDO Code 5 Taxpayer Type
(For Taxpayer with existing TIN) (To be filled out by BIR)

- - - 0 0 0 0 0 Local Resident Alien Special Non-Resident Alien

6 Taxpayer’s Name
(Last Name) (First Name)

MANALO ALLYSA
(Middle Name) (Suffix) 7 Gender
MANDING Male Female

8 Civil Status Single Married Widow/er Legally Separated

9 Date of Birth (MM/DD/YYYY) 10 Place of Birth
0 8 22 2 0 0 1 San Mateo, San Pascual Batangas
11 Mother’s Maiden Name (First Name, Middle Name, Last Name, Suffix)
Evelin Tayan Manding
12 Father’s Name (First Name, Middle Name, Last Name, Suffix)
Yolando Hernandez Manalo
13 Citizenship 14 Other Citizenship, if applicable
FILIPINO
15 Local Residence Address
Unit/Room/Floor/Building No. Building Name/Tower

Lot/Block/Phase/House No. Street Name

Subdivision/Village/Zone Barangay
BAYANAN
Town/District Municipality/City

SAN PASCUAL
Province ZIP Code
BATANGAS 4202
16 Foreign Address

17 Municipality Code 18 Tax Type INCOME TAX 19 Form Type BIR Form No. 1700 20 ATC II 011
(To be filled out by BIR)
21 Identification Details [government issued ID (e.g., passport, driver’s license, etc.), company ID, etc.]
Type Number Effectivity Date (MM/DD/YYYY) Expiry Date (MM/DD/YYYY)
PASSPORT P5118994B 03 13 2 0 2 0 0 3 1 2 2 0 3 0
Issuer PASSPORT Place/Country of Issue PHILIPPINES
22 Preferred Contact Type
Landline Number Fax Number Mobile Number

09603436859
Email Address
(required) [email protected]
Part II - Spouse Information (if applicable)
23 Employment Status of Spouse Unemployed Employed Locally Employed Abroad Engaged in Business/Practice of Profession
24 Spouse Name
(Last Name) (First Name)

(Middle Name) (Suffix) 25 Spouse TIN

- - - 0 0 0 0 0
26 Spouse Employer’s Name (If Individual, Last Name, First Name, Middle Name, Suffix) (If Non-Individual, Registered Name) (Attach additional sheet/s, if necessary)

27 Spouse Employer’s TIN - - -

 Page 2 – BIR Form No. 1902

Part III – For Employee with Two or More Employers (Multiple Employments) Within the Calendar Year
28 Type of Multiple Employments
Successive Employments (With previous employer/s within the calendar year)

Concurrent Employments (With two or more employers at the same time within the calendar year)
(If successive, enter previous employer/s; if concurrent, enter secondary employer/s )
Previous and/or Concurrent Employments During the Calendar Year (Attach additional sheet/s, if necessary)
29A Name of Employer
29B Employer’s TIN - - -
30A Name of Employer

30B Employer’s TIN - - -

31A Name of Employer

31B Employer’s TIN - - -

32 Declaration
I declare under the penalties of perjury that this application, and all its attachments, have been made in good faith, verified by me and to the best of my knowledge and belief, is
true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Further, I give my consent to the processing of
my information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.

ALLYSA M. MANALO
______________________________
Taxpayer (Employee)/Authorized Representative
(Signature over Printed Name)
Part IV – Primary/Current Employer Information
33 Type of Registered Office 34 TIN 35 RDO Code
Head Office Branch Office - - -
36 Employer’s Name (If Individual, Last Name, First Name, Middle Name, Suffix) (If Non-Individual, Registered Name)

37 Employer’s Address
Unit/Room/Floor/Building No. Building Name/Tower

Lot/Block/Phase/House No. Street Name

Subdivision/Village/Zone Barangay

Town/District Municipality/City

Province ZIP Code

38 Contact Details
Landline Number Fax Number Mobile Number

39 Relationship Start Date/Date Employee was Hired 40 Municipality Code (To be filled out by BIR)
(MM/DD/YYYY)
41 Declaration Stamp of BIR Receiving Office
I declare under the penalties of perjury that this application and all its attachments, have been made in good faith, verified by me and to the and Date of Receipt
best of my knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations
issued under authority thereof. Further, I give my consent to the processing of my information as contemplated under the *Data Privacy Act of 2012
(R.A. No. 10173) for legitimate and lawful purposes.

____________________________________________ _____________________________
EMPLOYER/AUTHORIZED REPRESENTATIVE Title/Position of Signatory
(Signature over Printed Name)
*NOTE: The BIR Data Privacy Policy is in the BIR website (www.bir.gov.ph)

Documentary Requirements: If transacting through a Representative:

2.1 Special Power of Attorney (SPA); (1 original)
2.2 Any government-issue ID of the taxpayer and authorized representative. (1 photocopy)
For Local Employee: In the case of employer securing TIN in behalf of its employee:
1. Any government-issued ID (e.g., Birth Certificate, Passport, Driver’s License, Community Tax
(a) Letter of Authority (LOA) with company letterhead (if applicable) signed by the President or
Certificate, PhilID) that shows the name, address and birthdate of the applicant. In case the ID
HR Head indicating the company name and its authorized representative; (1 original)
has no address, any proof of residence; (1 photocopy)
(b) Any government-issued ID of the signatory (for signature validation); (1 certified true copy)
2. Marriage Contract, for married female. (1 photocopy)
(c) Any government-issued ID of the authorized person of the employer; (1 photocopy)
For Foreign Nationals/Alien Employee: (d) Transmittal List of Newly Hired Employees with a place of assignment and certifying that the
list is its newly hired employees; (1 original)
1. Passport (Bio page, including date of entry/arrival and exit/departure stamp, if applicable); (1 (e) Letter of Authority from the employee/s; (1 original)
photocopy) (f) Printed copy of eREG System message that the employee has a similar record, if applicable.
2. Employment Contract or equivalent document indicating the duration of employment, (1 original)
compensation and other benefits and scope of duties. (1 certified true copy)

POSSESSION OF MORE THAN ONE TAXPAYER IDENTIFICATION NUMBER (TIN) IS CRIMINALLY PUNISHABLE PURSUANT TO THE
PROVISIONS OF THE NATIONAL INTERNAL REVENUE CODE OF 1997, AS AMENDED.