Pan Card Form
Pan Card Form
Pan Card Form
Shri
as applicable
Smt
Kumari
M/s
2 Fathers Name (Only Individual applicants: Even married women should fill in fathers name only)
Last Name / Surname
First Name
Middle Name
3 Date of Birth/Incorporation/Agreement/Partnership/Trust Deed/ Formation of Body of individuals or Association of Persons
Day
Month
Year
Male
Female
5 Photo Mismatch
6 Signature Mismatch
Residence
Office
Country Name
8 If you desire to update your other address also, give required details In additional sheet.
9 Telephone Number & Email ID details
Country code
Area/STD/Code
Email ID
10 AADHAAR number (if allotted)
11 Mention other Permanent Account Numbers (PANs) inadvertently allotted to you
PAN 1
PAN 3
PAN 2
PAN 4
12 Verification
I/We
do hereby declare that what is stated above is true to the best of my/our information and belief.
I/We have enclosed
Place
Date
D M M
INSTRUCTIONS FOR FILLING REQUEST FOR NEW PAN CARD OR/AND CHANGES OR CORRECTION IN PAN DATA
(a) Form to be filled legibly in BLOCK LETTERS and preferably in BLACK INK. Form should be filled in English only
(b) Mention 10 digit PAN correctly.
(c) Each box, wherever provided, should contain only one character (alphabet /number / punctuation sign) leaving a blank box after
each word.
(d) Individual applicants should affix two recent colour photographs with white background (size 3.5 cm x 2.5 cm) in the space
provided on the form. The photographs should not be stapled or clipped to the form. The clarity of image on PAN card will
depend on the quality and clarity of photograph affixed on the form.
(e) Signature / Left hand thumb impression should be provided across the photo affixed on the left side of the form in such a
manner that portion of signature/impression is on photo as well as on form.
(f) Signature /Left hand thumb impression should be within the box provided on the right side of the form. The signature should
not be on the photograph affixed on right side of the form. If there is any mark on this photograph such that it hinders the clear
visibility of the face of the applicant, the application will not be accepted.
(g) Thumb impression, if used, should be attested by a Magistrate or a Notary Public or a Gazetted Officer under official seal and
stamp.
(h) For issue of new PAN card without any changes- In case you have a PAN but no PAN card and wish to get a PAN card, fill
all column of the form but do not tick any of the boxes on the left margin. In case of loss of PAN card, a copy of FIR may be
submitted along with the form.
(i)
For changes or correction in PAN data, fill all column of the form and tick box on the left margin of appropriate row where change/
correction is required.
(j) Having or using more than one PAN is illegal. If you possess more than one PAN, kindly fill the details in Item No. 11 of this form
and surrender the same.
Item
No.
1
Item Details
Full Name
R A V I K A N T
S A R D A
S U R E S H
N A R A Y A N
P O O N A M
R A V I
R A O
S A T Y A M
V E N K A T
K A N D A S W A M Y
M A D U R A I
S O M A S U N D R A M
X Y Z
D A T A
C O R P O R A T I O N
I A )
P R I V A T E
( I N D
L I M I T E D
M A N O J
M A F A T L A L
D A V E
( H U F )
In case of Company, the name should be provided without any abbreviations. For example,
different variations of Private Limited viz. Pvt Ltd, Private Ltd, Pvt Limited, P Ltd, P. Ltd., P. Ltd are
not allowed. It should be Private Limited only.
In case of sole proprietorship concern, the proprietor should apply for PAN in his/her own name.
Name should not be prefixed with any title such as Shri, Smt, Kumari, Dr., Major, M/s etc.
Abbreviation of the
Individual applicants should provide full/abbreviated name to be printed on the PAN card. Name, if
full
name to be
R A O
S A T Y A M
Middle Name
V E N K A T
Can be written as in Name to be printed on the PAN Card column as SATYAM VENKAT M. K. RAO
or S. V. M. K. RAO or SATYAM V. M. K. RAO
For non-individual applicants, this should be same as last name field in item no. 1 above.
2
Fathers Name
Applicable to Individuals only. Instructions in Item No.1 with respect to name apply here. Married
woman applicant should give fathers name and not husbands name.
Date of Birth/
Incorporation/
Agreement/
Partnership or
Trust
Deed/Formation
of Body of
Individuals/
Association of
Persons
4
5&6
Gender
Date cannot be a future date. Date: 2nd August 1975 should be written as:
D
Photo/signature
Individuals issued a PAN card with incorrect/unclear photograph/signature should tick the box on
Mismatch
Address for
CommunicationResidence and
office
Indicate either Residence or Office address for communication as the case may be.
(1) For Individuals, HUF, AOP, BOI or AJP, either of residential or office address is mandatory.
(2) In case of Firm, LLP, Company, Local Authority and Trust, Name of office and complete address
of office is mandatory.
For all categories of applicants, it is necessary to mention complete address and the details of
Town/City/District, State/Union Territory, and PINCODE are mandatory.
In case, a foreign address is provided then it is mandatory to provide Country Name along with ZIP
Code of the country.
Update
other
address
If applicant wishes to update other address, besides address for communication, box on left margin
should be ticked and details of address be provided on an additional sheet in similar format as
prescribed in Item No. 7.
Telephone
Number and
E-mail ID
(1) Telephone number should include country code (ISD code) and STD code or Mobile No.
should include Country code (ISD Code).
For example :
(i) Telephone number 23555705 of Delhi should be written as
Country code
9
STD Code
1
Where 91 is the country code of India and 11 is the STD Code of Delhi.
(ii) Mobile number 9102511111 of India should be written as
Country code
9
STD Code
AADHAAR
number (in case
of citizen of India)
11
Mention other
Permanent
Account
Number (PANs)
inadvertently
allotted to you
All PANs inadvertently allotted other than the one filled at the top of the form (the one currently used)
should be mentioned and the copy of corresponding PAN card(s) to be submitted for cancellation
with the form.
12
Signature / Thumb
impression
Application must be signed by (i) the applicant; or (ii) Karta in case of HUF; or (iii) Director of a
Company; or (iv) Authorised Signaturee in case of AOP, Body of Individuals, Local Authority and
Artificial Juridical Person; or (v) Partner in case of Firm/LLP; or (vi) Trustee; or (vii) Representative
Assessee in case of Minor/deceased/idiot/lunatic/mentally retarded.
Applications not signed in the given manner and in the space provided are liable to be rejected.
Proof of Address
(i) Copy of
a. Aadhaar Card issued by the Unique
Identification Authority of India; or
b. Electors photo identity card; or
c. Driving License; or
d. Passport; or
e. Passport of the spouse; or
f. Post office passbook having address
of the applicant; or
g. Latest property tax assessment
order; or
h. Domicile certificate issued by the
Government; or
i. Allotment letter of accommodation
issued by Central or State
Government of not more than three
years old; or
j. Property Registration Document; or
(ii) Copy of following documents of
not more than three months old
(a) Electricity Bill; or
(b) Landline Telephone or Broadband
connection bill; or
(c) Water Bill; or
(d) Consumer gas connection card or
book or piped gas bill; or
(e) Bank account statement or as per
Note 2;
or
(f) Depository account statement; or
(g) Credit card statement; or
(iii) Certificate of identity in Original
signed by a Member of Parliament
or Member of Legislative Assembly
or Municipal Councilor or a Gazetted
officer, as the case may be; or
(iv) Employer certificate in original.
Copy of
a. Birth Certificate issued by the
Municipal Authority or any office
authorized to issue
Birth
and
Death Certificate by the Registrar
of Birth and Death or the Indian
Consulate as defined in clause (d)
of sub-section
(1) of session 2 of the Citizenship
Act, 1955 (57 of 1955); or
b. Pension payment order; or
c. Marriage certificate issued by
Registrar of Marriages;
or
d. Matriculation Certificate; or
e. Passport; or
f. Driving License; or
g. Domicile Certificate issued by the
Government; or
h. Affidavit sworn before a magistrate
stating the date of birth
Note:
1. In case of Minor, any of the above
mentioned documents as proof of
identity and address of any of
parents/guardians of such minor
shall be deemed to be the proof
of identity and address for the minor
applicant.
2. For HUF, an affidavit made by the
Karta of Hindu Undivided Family
stating name, fathers name and
address of all the coparceners on
the date of application and copy of
any of the above documents in the
name of Karta of HUF is required is
required as proof of identity, address
and date of birth..
Note:
1. Proof of Address is required for
residence address mentioned in
item no. 7.
2. In case of an Indian citizen residing
outside India, copy of Bank Account
Statement in country of residence or
copy of Non-resident External (NRE)
bank account statements (not more
than three months old) shall be the
proof of address.
Company
Partnership Firm
Foreign Citizens
Individuals not being a Citizen of India
Proof of Identity
Proof of Address
For other than Individuals (Foreign companies/Entities incorporated outside India/Unincorporated entities formed outside India)
(a) Copy of Certificate of Registration issued in the country
where the applicant is located, duly attested by
Apostille (in respect of the countries which are
signatories to the Hague Convention of 1961) or by the
Indian Embassy or High Commission or Consulate in the
country where the applicant is located, or authorised
officials of overseas branches of Scheduled Banks
registered in India.
(b) Copy of registration certificate issued in India or of approval
granted to set up office in India by Indian Authorities.
Proof of PAN
(a) Copy of PAN Card; or
(b) Copy of PAN Allotment Letter
Note: No other document shall be accepted as Proof of PAN. If proof is not provided then application shall be accepted on a
good effort basis.
Supporting document required for changes in PAN data
Case/Applicant type
Marriage certificate or
Companies
AOP/Trust/BOI/AJP/LOCAL authority
(d) Applicant will receive an acknowledgement containing a unique number on acceptance of this form. This acknowledgement
number can be used for tracking the status of the application.
(e) For more information / Application status enquiry contact:
Mode
Website
CallCenter
Email ID
SMS
Address
Income-tax Department
NSDL
www.incometaxindia.gov.in
www.tin-nsdl.com
1800-180-1961
020-27218080
[email protected]
SMS NSDLPAN <space> Acknowledgement No. & send to
57575 to obtain application status.
For example Type NSDLPAN 881010101010100 and send to 57575
INCOME TAX PAN SERVICES UNIT (Managed by NSDL e-Governance
Infrastructure Limited), 5th Floor, Mantri Sterling, Plot No. 341, Survey No.
997/8, Model Colony, Near Deep Bunglow Chowk, Pune - 411 016.