Form ITS 49A

Application (Pan Card India) for allotment of Permanent Account Number - Form 49A

Under section 139A of the Income-Tax Act, 1961
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Status of the Applicant.*
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To,
The Assessing Officer
Area Code * AO Type * Range Code * AO No *
Ward/Circle
Range
Commissioner
Sir,
 I/We hereby request that a permanent account number be allotted to me/us.
 I/We give below the necessary details:

Full Name*
Last Name
Middle Name
First Name
Name on Card *
Are you known by any other name?
Father's Name *
Last Name
Middle Name
First Name

Address *
  Residential Address
Flat/Door/Block Number
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
Town/City/District
State/Union Territory
PIN Code
Office Address
Name of the Office
Flat/Door/Block Number
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
Town/City/District
State/Union Territory
PIN Code
Address for Communication *
Telephone number STD Code Telephone number
Email ID *
Sex *
Date of Birth / Incorporation/Agreement/Partnership or Trust Deed/Formation of Body of Individuals/Association of Persons
Are you a citizen of India?

 Are you a salaried Employee? 
Are you are engaged in a business / profession?
Indicate other sources of income, if any

Full name and address of the Representative Assessee, who is assessable under the Income Tax Act in respect of the person, whose particulars have been given above
Last Name
Middle Name
First Name
Flat/Door/Block Number
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
Town/City/District
State/Union Territory
PIN Code

Which of these documents are you submitting as an Identity Proof *
Which of these documents are you submitting as an Address Proof *
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Payment Mode*
DD/Pay Order Number *
DD/Pay Order Date *
Bank Name *
Bank Branch *