PAN APPLICATION UTILITY Version (1.

0)
1) 2) 3) 4) Please Fill up Data Input Sheet Form in CAPITAL LETTERS. In Change & Correction of Form in every Question Answer Whether Yes or No. Please Write all Date of Births Without any Space. IF Income Nature is Selected as Other Sources then do not Select Salary or Business Income in Next Steps.

Any Feedbacks please Mail to : -

Parikshit M Ekbote
Email ID - pri_ekbote@yahoo.co.in

All the Best

s Income in Next Steps.

DATA INPUT SHEET (FOR NEW PAN APPLICATION)

PLEASE WRITE ALL INFORMATION IN CAPITAL LETTERS Income Nature Ward Area Code AO Type Range Code AO NO. Range Commissioner

Name Details
Assessee Name Prefix Surname First Name Father Name Name on PAN

Other Name Details ( If Any)

Have you Known by other Name Details of Other Name
Applicable Prefix Surname First Name Father 's Name

Father's Name Details

Surname First Name Father's Name

Residential Address Details

Flat No Premises Name Road / Street / Lane Area / Locality Town /City State Pin

Office Address Details ( IF Any)

Name of the Office Flat No. Premises Name Road / Street / Lane Area / Locality Town /City State Pin

Other Details
Address for Communication Telephone Details STD CODE TEL No. Email Sex Status of the Applicant ( Tick According to Codes) Date of Birth Registration Number ( In Case of Firms & Companies) Citizen of India Are u a Salaried Employee? Name of the Organisation Where Working Nature of Business

Representative Assessee
Prefix Last Name Middle Name First Name

Address Details (Representative Assessee)

Address Flat Premises Road/Street/Lane Area/Locality Town/City State Pin

Attached Proof Details

Proof of Identity Proof of Address

Verified Date

DATA INPUT OF CHANGE AND CORRECTION IN PAN

Pemanent Account Number Change of Name Change of Name ?
Prefix Last Name / Surname Middle Name First Name Name on PAN Card

Enter Here

Change of Father's Name 2 Change of Father's Name?

Last Name / Surname Middle Name First Name

3 Change Birth Date ?

Date of Birth Incorporation / Agreement / Partnership or Trust Deed / Formation of Body of Indviduals / Association of Persons Enter Date(Without any Space) Here

DOB

4 Change of Gender
Gender

5 Photo Mismatch 6 Signature Mismatch 7 Change of Address for Communication

Address for Communication

Office Name Flat No. Premises Name Road/Street/Lane Area/Locality Town / City State Pin

8 If Your Desire to Change other address, also 9 Change Telephone No. or Email ID
STD Code Tel No. Email ID

10 Any Other PAN's Alloted to You

PAN 1 PAN 2 PAN 3 PAN 4

Verification
Full Name No.of Proof's Verified Date ( Without any Space in Between)

PAN

Request For New PAN Card or / And Changes Or Correction in PAN Data
Only ' individuals' Permanent Account Number (PAN) to affix recent photograph (3.5cm x 2.5cm)

Please read Instructions ' f ' & ' g ' for selecting boxes on left margin of this form

1 Name
Please tick

as applicable

Shri

Smt

Kumari

M/s

Signature/Left Thumb Impression First Name

Last Name / Surname Middle Name

Name as you would like it printed on card

2 Father's Name ( Only Individual applicants : Even Married women should give father's name only)
Last Name / Surname Middle Name First Name

0 0 0 0 0

3 Date of Birth / Incorporation / Agreement / Partnership or Trust Deed / Formation of Body of Individuals / Association of Persons 4 Sex ( for ' individual ' applicant only) 5 Photo Mismatch 6 Signature Mismatch 7 Address for Communication Please indicate if this is Residence
Office Name ( to be filled only in case of Office Address) Flat / Door/ Block No. Name of Premises / Building/ Village Road / Street / Lane / Post Office Area / Locality / Taluka / Sub- Division Town / City / District

D D M M

Y Y Y Y

Male

Female

or

Office

0
( Indicating PAN is mandatory)

0 0

8 If you desire to update your other address also, give required details in additional sheet. 9 Tel No. email ID 0
STD Code Tel No.

10 Mention other Permanent Account Numbers (PANs) inadvertently alloted to you PAN 1 PAN 2
I

PAN 3 PAN 4
, the applicant , do here by declare that what is slated above is (Number of Documents) in support of proposed changes/corrections.

true to the best of my information and belief . I have enclosed

Verified Today,the

Signature/Left thumb impression of

Applicant ( inside the box)

FORM 49A Application for Allotment of Permanent Account Number

Under Section 139A of the Income Tax Act, 1961 (To avoid mistake (s), please follow the accompanying and examples carefully before filling up the form)

Form No ITS 49A

Only 'individuals' to Affix recent photograph (3.5 x 2.5 cm)

To, The Assessing Officer

Ward/Circle Range Commissioner

Area Code

AO Type

Range Code

AO No.

0 0 0

Sir,
I/We hereby request that a permanent Account number be alloted to me/us. I/We give below necessary particulars 1 Full Name ( Full expanded name : initials not Permitted) Please Tick Signature /Left Thumb impression Smt Shri

as applicable

Kumari

M/s

0
First Name

Last Name / Surname Middle Name

2 Name you would like printed on the card 3 Have you been known by any other name?
If yes, give that other name (Full Expanded name, initials not permitted) Last Name/Surname Middle Name Shri Please tick

as applicable

Yes

0
M/s

No

Smt

Kumari

First Name

4 Father's Name (Only individual applicants : Even married should give father's name only)
Last Name / Surname Middle Name First Name

5 Address
R. Residential Address Flat/Door/BlockNo. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/Sub-Division Town/City/District State/Union Territory PIN

0 O.Office Address (Name of the Office)

Flat/Door/Block No. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/Sub-Division Town/City/District State/Union Territory PIN

0 6 Address for Communication Please Tick as applicable

R

Or

STD Code

Tel No. Email

7 Tel No. 8 Sex (For Individual Applicants only) Please Tick 9 Status of the Applicant
Individual Hindu Undivided Family Company P H C

as applicable

Male

Female

Please tick as applicable

0 0 0

Firm Association of Person Association of Person (Trust)

F A T

0 0 0
-

Body of Individuals Local Authority Artificial Judicial Person

B L J

0 0 0

10 Date of Birth/ Incorporation/Agreement/Partnership or Trust Deed

Formation of Body of Individuals/Association of Persons D D

M M Y Y Y Y

11 Registration Number (In case of Firms, Companies etc) 12 Whether Citizen of India?
Please tick

0
Yes

as applicable

0
Others

No

13 (a) Are you salaried employee?

If yes, indicate Government

0 Name of the Organisation where working (b) If you are engaged in a business/profession, indicate nature of business or profession and fill relevant code 0 (C) If your are not covered by (a) or (b) above, indicate sources of income, if any 0 14 Full name, address of the Representative Assessee ,who is assessable under the Income tax Act in respect of the person,
whose particulars have been given in column 1 to 13. Full name (Full expanded name : initials not permitted) please tick Last Name/Surname Middle Name Address Flat/Door/Block No. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/Sub-Division Town/City/District State/Union Territory

as applicable

Shri

Smt

0 Kumari 0 M/s 0

First Name

0 15 I/We have enclosed

as proof of address. I/we

0 0

as proof of identity and

the applicant , do hereby declare that what is stated above is true

to the best of my/our information and belief.

Verified today, the

Signature / Left Thumb impression of Applicant (inside the Box)