49A Pan-Card-Application-Form - New - PDF
49A Pan-Card-Application-Form - New - PDF
49A Pan-Card-Application-Form - New - PDF
49A
Application for Allotment of Permanent Account Number
[In the case of Indian Citizens/Indian Companies/Entities incorporated in India Only Individuals
Only Individuals /Unincorporated entities formed in India] to affix recent
to affix recent Under section 139A of the Income Tax Act, 1961 photograph
photograph (3.5 cm x 2.5 cm)
(3.5 cm x 2.5 cm) To avoid mistake(s), please follow the accompanying instructions and examples before filling up the form
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)
3 Have you ever been known by any other name? Yes No (Please tick as applicable)
If yes, please give that other name
Please select title, as applicable Shri Smt. Kumari M/s
Last Name / Surname
First Name
Middle Name
4 Gender (for Individual applicants only) Male Female (Please tick as applicable)
5 Date of Birth/Incorporation/Agreement/Partnership or Trust Deed/ Formation of Body of individuals or Association of Persons
Day Month Year
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 Pincode / Zip code 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/SubDivision
Town / City / District
State / Union Territory Pincode / Zip code Country Name
8 Address for Communication Residence Office (Please tick as applicable)
9 Telephone Number & Email ID details
Country Code Area/STD Code Telephone / Mobile Number
Email ID
10 Status of applicant
Trusts Body of Individuals Local Authority Artificial Juridical Person Limited Liability Partnership
11 Registration Number (for company, firms, LLPs, etc.)
Income from Business/Profession Business/Profession Code [For Code: Refer instructions] Income from Other sources
Place
D D M M Y Y Y Y
Date Signature / Left Thumb impression of
Applicant (inside the box)