Application for Negative Income Tax and bank details for Special Allowance


PERSONAL INFORMATION
National Identity Card No.			Surname *
Other Name(s) *

CONTACT DETAILS
Fixed Phone No.			Mobile Phone No.

BANK DETAILS
Bank Name *			Bank Account Number *
Quarter (Applicable only for NIT) : *
I certify that I am a holder of the above bank account and I authorise MRA to credit my NIT/SPA allowance directly to that account.