TAX AGENTS REGISTRATION BOARD
APPLICATION FOR RENEWAL OF REGISTRATION AS A
TAX AGENT
GOVERNMENT OF FIJI
T.I.N.:
First Name:
Middle Name:
Last Name:
Date of Birth:
Father's Name:
Male:
Current Mailing
Address:
Female:
Current Phone No.:
(Home)
(Business)
Current Phone No.:
(Business)
Fax. No.:
Business Name:
Current
Email:
Occupation:
Are you a Fiji Resident?
Yes
No
Are you are a current member of the Fiji Institute of Accountant
1. Are you a current member of the Fiji Institute of Accountant? Yes
No
number Yes
2. If Yes, were you a memberPlease
before state
InitialFIA
Taxmembership
Agent registration?
No
2. (a) If Not a member before initial registration,
If yes, please give details
i. Please attach Chartered Accountant Membership Certificate and state membership
(Continue on separate sheet if necessary)
number
ii. If you are a Certified Public Practitioner (CPP) of FIA, please state membership
number
If you
are a Certified Public Practitioner (CPP) of FIA, please state membership number
Are you a current member of the CPA Australia? Yes
If you are a CPP from other Institutes or Organizations, please state
If Yes, of
were
a member
before
Initial
TaxorAgent
registration?
Have you been convicted
anyyou
offence
against
the law
of Fiji
any other
law? Yes Yes
2. (b) If Not a member before initial registration,
Please
attach
Chartered
Accountant Membership Certificate and state membership
Ifi. No,
please
attach
If yes,
please
giveChartered
details Accountant Membership Certificate and state membership
number
number
Continue on separate sheet if necessary)
ii. If you are a Certified Public Practitioner (CPP) of FIA, please state membership
Summary
numberof Experience
No
No No
Please give summary of experience in
taxation matters over the last five (5) years.
UPDATED DETAILS
Employer’s name:
Summary of Experience
Please give
summary
of experience
taxation
Employer’s
matters
TIN:
over the
last five (5) in
years.
taxation matters over the last five (5) years.
(Continue on separate sheet if necessary)
Mailing Address:
Business
Employer
Use current details for TARB
correspondence?
Email:
Location:
Phone No.:
Fax No.:
IRS301 [Revised: 29-Dec-2015]
DECLARATION:
I hereby apply for registration as a Tax Agent under the provisions of part VIIA of the Income Tax Act 1974
In support of this application I have set out the information shown above. I declare this information to be
true and correct in every particular.
Signature of Applicant
Date:
IT IS A SERIOUS OFFENCE TO MAKE A FALSE STATEMENT TO THE COMMISSIONER
FOR OFFICIAL USE ONLY
Certificate posted
Entered By:
Check:
Verified
All items
andBy:
declarations must be completed
Attach two (2) current Character References
Attach
documentary evidence of academic qualifications
Application
Attach documentaryNo:evidence of Yes:
professional qualifications
RemitApproval:
with this application, a Registration fee of $460.00
Approved By:
Fee Paid ($)
Receipt No.
Tax Agent No.
Date of Application
Date of Renewal:
Tax Agents Renewal Checklist:
Current Contact details
Current Employer details
FIA Chartered Accountant Membership Certificate if required
CPA Chartered Accountant Membership Certificate if required
 Latest Tax Compliance Certificate (TCC) Number.
 Attached soft copy of passport size photo on the application form.
 Attached FRCA Receipt - $218 VIP Renewal Fees
IRS301 [Revised: 29-Dec-2015]