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RETURN AND EXCHANGE RATE DETAILS

TIN

Return Period Date Range

Dollar Rate

TAX PAYER INFORMATION

Bank Name

Account Number

Return Filing Status

EXCISE DUTY ON SERVICES

Airtime on Mobile

Card Loading (Prepaid)

Non Card Loading (Prepaid)

Staff Airtime (Postpaid)

Contract Airtime (Postpaid)

Adjustments (Mobile)

Landline and Payphone Services

Card Loading - Landline (Prepaid)

Non Card Loading - Landline (Prepaid)

Monthly Billing (Postpaid)

Payphone

Adjustments (Landline)

Other Telecom Services

Value Added Services

International Calls (Chargeable)

Exempt International Calls

Money Transfer & Withdrawal

Exempt Internet Data (Medical & Education)

Internet Data (Chargeable)

Financial Services

Mobile Money Transactions

Number of transactions

Amount

Transaction Type