Pan Card Application Form
Pan Card Application Form
Pan Card Application Form
5 cm)
Form No. 49A Application for Allotment of Permanent Account Number [In the case of Indian Citizens/Indian Companies/Entities incorporated in India /Unincorporated entities formed in India] Under section 139A of the Income Tax Act, 1961
To avoid mistake(s), please follow the accompanying instructions and examples before filling up the form
AO No.
Signature/Left Thumb Impression
Sir, I/We hereby request that a permanent account number be allotted to me/us. I/We give below necessary particulars: 1 Full Name (Full expanded name to be mentioned as appearing in proof of identity/address documents: initials are not permitted) Please select title,
as applicable
Shri
Smt.
Kumari
M/s
Last Name / Surname First Name Middle Name 2 Abbreviation of the above name, as you would like it, to be printed on the PAN card
3 Have you ever been known by any other name? If yes, please give that other name Please select title,
Yes
No
as applicable
Shri
Smt.
Kumari
M/s
Last Name / Surname First Name Middle Name 4 Gender (for Individual applicants only) Day Month Year Male Female (Please tick as applicable)
6 Father's Name (Only 'Individual' applicants: Even married women should fill in father's name only) Last Name / Surname First Name Middle Name 7 Address Residence Address Flat/Room/Door/Block No. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/SubDivision Town / City / District State / Union Territory Office Address Name of office Flat/Room/Door/Block No. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/SubDivision Town / City / District State / Union Territory
Country Name
Country Name
Residence
Office
Area/STD Code
11 Registration Number (for company, firms, LLPs, etc.) 12 In case of a citizen of India, then Please mention your AADHAAR number (if allotted) 13 Source of Income
Salary Income from Business/Profession Income from House Property Business/Profession Code [For Code: Refer instructions]
Full Name (Full expanded name: initials are not permitted) Please select title,
as applicable
Shri
Smt.
Kumari
M/s
Last Name / Surname First Name Middle Name Address Flat/Room/Door/Block No. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/SubDivision Town / City / District State / Union Territory
15 Documents submitted as Proof of Identity(POI) and Proof of Address (POA) I/We have enclosed as proof of address. as proof of identity and
[Please refer to the instructions (as specified in Rule 114 of I.T. Rules, 1962) for list of mandatory certified documents to be submitted as applicable]
16 I/We , the applicant, in the capacity of do hereby declare that what is stated above is true to the best of my/our information and belief.
Place D Date D M M Y Y Y Y Signature / Left Thumb impression of Applicant (inside the box)