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49A
Application for Allotment of Permanent Account Number
[In the case of Indian Citizens/lndian Companies/Entities incorporated in India/
Unincorporated entities formed in India]
Only
Individuals
to affix rcent
photograph
(3.5 cm x
2.5 cm)
AO type
Range code
Only
Individuals
to affix recent
photograph
(3.5 cm x
2.5 cm)
AO No.
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
Abbreviations of the above name, as you would like it, to be printed on the PAN card
Yes
No
as applicable
Shri
Smt.
Kumari
M/s
Month
Male
Female
Year
Fathers Name (Only individual applicants : Even married women should fill in fathers name only)
Last Name / Surname
First Name
Middle Name
Address
Residence Address
Flat / Room / Door / Block No.
Name of Premises / Building / Village
Road / Street / Lane/Post Office
Area / Locality / Taluka/ Sub- Division
Town / City / District
State / Union Territory
Country Name
Country Name
Office Address
Name of office
Flat / Room / Door / Block No.
Name of Premises / Building / Village
Road / Street / Lane/Post Office
Area / Locality / Taluka/ Sub- Division
Town / City / District
State / Union Territory
Residence
Office
Area/STD Code
Email ID
10 Status of applicant
Please select status,
as applicable
Government
Individual
Company
Partnership Firm
Association of Persons
Trusts
Body of Individuals
Local Authority
13
Source of Income
Please select,
Salary
as applicable
Capital Gains
Business/Profession code
Full name, address of the Representative Assessee, who is assessible under the Income Tax Act in respect of the person, whose particulars have
been given in the column 1-13.
Full Name (Full expanded name : initials are not permitted)
Please select title,
as applicable
Shri
Smt.
Kumari
M/s
Pincode
15 Documents submitted as Proof of Identity (POI), Proof of Address (POA) and Proof of Date of Birth (DOB)
I/We have enclosed
as proof of identity,
[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]
[Annexure A, Annexure B & Annexure C are to be used wherever applicable]
16 I/We
do hereby declare that what is stated above is true to the best of my/our information and belief.
Place :
D
D M M
Y Y
Date :
Signature / Left Thumb Impression of Applicant (inside the box)
First Name
Middle Name
For example SURESH SARDA should be written as:
First Name
Middle Name
For example POONAM RAVI NARAYAN should be written as:
First Name
P
R
O
A
O
V
N
I
Middle Name
First Name
S
V
A
E
T
N
Middle Name
Y
K
A
A
M
T
For example M.S. KANDASWAMY (MADURAI SOMASUNDRAM KANDASWAMY) should be written as:
First Name
M
S
A
O
D
M
U
A
R
S
A
U
I
N
Middle Name
First Name
Middle Name
For example MANOJ MAFATLAL DAVE (HUF) should be written as:
First Name
Middle Name
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.
First Name
A
A
O
T
Middle Name
Can be written as in Name to be printed on the PA N Card column as SAT YA M 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.
4. Gender
This field is mandatory for Individuals. Field should be left blank in case of other applicants.
5. Date of Birth/Incorporation/Agreement/Partnership or Trust Deed/Formation of Body of Individuals/Association of
Persons
Date cannot be a future date. Date: 2nd August 1975 should be written as:
D
R e l e v a n t d a t e f o r d i ff e r e n t c a t e g o r i e s o f a p p l i c a n t s i s :
Individual: Actual Date of Birth; Company: Date of Incorporation;
A s s o c i a t i o n o f P e r s o n s : D a t e o f f o r m a t i o n / c r e a t i o n ; Tr u s t s : D a t e o f c r e a t i o n o f Tr u s t D e e d ;
Partnership Firms: Date of Partnership Deed; LLPs: Date of Incorporation/Registration; HUFs: Date of creation of HUF and for
ancestral HUF date can be 01-01-0001 where the date of creation is not available.
6. Details of Parents
A p p l i c a b l e t o I n d i v i d u a l s o n l y. I n s t r u c t i o n s i n I t e m N o . 1 w i t h r e s p e c t t o n a m e a p p l y h e r e . M a r r i e d w o m a n a p p l i c a n t s h o u l d g i v e f a t h e r s
n a m e a n d n o t h u s b a n d s n a m e .
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
STD Code
9
2.