Form No. 49a - Application For Allotment Of Permanent Account Number
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1
2Form No. 49A
Application for Allotment of Permanent Account Number
[In the case of Indian Citizens/lndian Companies/Entities incorporated in India/
Only
Only
Unincorporated entities formed in India]
‘Individuals’
‘Individuals’
to affix recent
to affix récent
See Rule 114
photograph
photograph
To avoid mistake (s), please follow the accompanying instructions and examples before filling up the form
(3.5 cm x
(3.5 cm x
2.5 cm)
2.5 cm)
Assessing officer (AO code)
Area code
AO type
Range code
AO No.
Signature/Left thumb impression
across this photo
Sir, I/We hereby request that a permanent account number be allotted to me/us.
I/We give below necessary particulars:
Signature/Left Thumb Impression
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
Last Name / Surname
First Name
Middle Name
2
Abbreviations of the above name, as you would like it, to be printed on the PAN card
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
Details of Parents (applicable only for individual applicants),
Father’s Name : (Mandatory, Even married women should fill in father’s name only)
Last Name / Surname
First Name
Middle Name
Mother’s Name (optional)
Last Name / Surname
First Name
Middle Name
Select the name of either father or mother which you may like to be printed on PAN card (select one only)
(In case no option is provided then PAN card will be Issued with father’s name)
Father’s name
Mother’s Name
(Please tick as applicable)
7
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
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/ Sub- Division
Town / City / District
State / Union Territory
Pincode / Zip code
Country Name
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