CP 600

BORANG PENDAFTARAN
REGISTRATION FORM
FAIL CUKAI PENDAPATAN INDIVIDU
INDIVIDUAL INCOME TAX FILE
LEMBAGA HASIL DALAM NEGERI MALAYSIA
INLAND REVENUE BOARD MALAYSIA

BAHAGIAN A / PART A MAKLUMAT INDIVIDU / PARTICULARS OF INDIVIDUAL

A1
Nama
Name
A2
No. Pengenalan (No. Kad Pengenalan / Polis / Tentera)
Identification No. (Identity card / Police / Army No.)
A3 No. Pasport / Passport No.

A4 Jantina / Sex 1 = Lelaki / Male 2 = Perempuan / Female

1 = Bujang / Single 2 = Kahwin / Married

A5 Status / Status 3 = Janda / duda / ( Divorcee / widow / widower )

A6
Tarikh Lahir (hh/mm/tttt)
Date of Birth (dd/mm/yyyy)
A7 Warganegara / Citizen

A8
Negara Mastautin / Country of
Residence
A9
Alamat Surat – menyurat /
Correspondence Address

Poskod Bandar
Postcode City
Negeri
Country
A10
Alamat Kediaman / Residential
Address

Poskod Bandar
Postcode City
Negeri
Country
A11 No.Telefon / Telephone No.

A12 e-Mel / e-Mail

BAHAGIAN B / PART B MAKLUMAT PEKERJAAN / PARTICULARS OF EMPLOYMENT

B1 Pekerjaan / Employment

B2
Tarikh Mula Kerja / Date of
Employment
B3
No.Staf / No. Gaji
Staff No. / Payroll No.
B4 Nama Majikan / Employer’s Name

B5 No. Majikan / Employer’s No. E

B6 Alamat Majikan / Employer’s Address

Poskod Bandar
Postcode City
Negeri
Country
B7
No. Telefon Majikan / Employer’s
Telephone No.

BAHAGIAN C / PART C MAKLUMAT PERNIAGAAN / PARTICULARS OF BUSINESS

C1
Nama Perniagaan
Name of Business
C2
Jenis Perniagaan Utama
Type of Main Business
C3
No.Pendaftaran Perniagaan
Business Registration No.
C4
Tarikh Mula Operasi
Date of Commencement of Operation

1
 C5
Alamat Premis Perniagaan
Address of Business Premise

Poskod Bandar
Postcode City
Negeri
Country

BAHAGIAN D / PART D MAKLUMAT PASANGAN / PARTICULARS OF HUSBAND / WIFE

D1 Nama / Name

D2 No. Pengenalan / Identification No.

(No. Kad Pengenalan / Polis / Tentera) / (Identity card / Police / Army No.)

D3 No. Pasport / Passport No.

D4
Tarikh Kahwin (hh/mm/tttt)
Date of Marriage (dd/mm/yyyy)
D5
No. Cukai Pendapatan /
Income Tax No.

PENDAFTARAN FAIL MAJIKAN / REGISTRATION OF EMPLOYER FILE

BAHAGIAN E / PART E
( bagi perniagaan pada Bahagian C ) / ( for Business on Part C)
E1 * Status Majikan / Employer Status

E2
Jumlah Pekerja / Number of
Employees
E3
Bilangan Pekerja Terima Pendapatan Tahunan :
Number of Employees Receive Annual Income :
(a) Kurang daripada RM 30,000 (b) Melebihi RM 30,000
Less than RM 30,000 More than RM 30,000

BAHAGIAN F / PART F MAKLUMAT EJEN CUKAI / PARTICULARS OF TAX AGENT

F1 Nama / Name
F2
No. Kelulusan Ejen Cukai
Tax Agent’s Approval No.
F3 Alamat Firma / Firm Address

Poskod Bandar
Postcode City
Negeri
Country
F4 No.Telefon / Telephone No.
F5 e-Mel / e-Mail

AKUAN / DECLARATION
No. Pengenalan / Pasport
Saya Identity / Passport No.
I * Potong yang tidak berkenaan
Delete whichever is not relevant
dengan ini mengakui bahawa maklumat yang diberikan di dalam borang ini adalah benar, betul dan lengkap.
hereby declare that the information given in this form is true, correct and complete.

Tandatangan Tarikh :
Signature Date :

SILA KEMUKAKAN / please submit :

Salinan kad pengenalan atau pasport (Jika borang ini dikemukakan bagi pihak individu di A1).
Photocopy of identity card or passport ( If this form was submit on behalf of the individual in item A1).

*Ruangan E1: Status Majikan

Part E1 : Employer Status
Kerajaan Berkanun Swasta Pusat Pengajian Kerajaan
Government Statutory Private Public Education Centre
Kerajaan Berkomputer Berkanun Berkomputer Swasta Berkomputer Pusat Pengajian Kerajaan Berkomputer
Government (Computerised) Statutory (Computerised) Private (Computerised) Public Education Centre (Computerised)
Pusat Pengajian Swasta Pusat Pengajian Swasta Berkomputer Tentera
Private education Centre Private Education Centre(Computerised) Army

UNTUK KEGUNAAN PEJABAT

Honorifik
No. Cukai Pendapatan
No. Majikan E
Kod Perniagaan Utama (Rujuk bahagian C)