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Form 49aa - Application For Allotment Of Permanent Account Number [individuals Not Being A Citizen Of India/entities Incorporated Outside India/ Unincorporated Entities Formed Outside India] Page 2

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

Please select status,

as applicable

Government

Individual

Hindu undivided family

Company

Partnership Firm

Association of Persons

Trusts

Body of Individuals

Local Authority

Artificial Juridical Persons

Limited Liability Partnership

11 Registration Number (for company, firms, LLPs, etc.)

12 Country of citizenship

ISD code of country of citizenship

13 Source of Income

Please select status,

as applicable

Salary

Capital Gains

Income from Business / Profession

Business/Profession code

Income from Other sources

[For Code: Refer instructions]

Income from House property

No income

14 Representative or Agent of the Applicant in India

Full name, address of the Representative or Agent

Full Name

(Full expanded name: initials are not permitted)

Shri/Mr

Smt/Mrs

Kumari/Ms

M/s

Please select title,

as applicable

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/ Sub- Division

Town / City / District

State / Union Territory

Pincode / Zip code

15 Documents submitted as Proof of Identity(POI) and Proof of Address (POA)

I/We have enclosed

as proof of identity,

proof of address, and

as mandatory certified documents

[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 1 to be used wherever applicable]