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Pan CR Form

This document is a request form for applying for a new PAN card or making changes or corrections to an existing PAN card. It requests basic information about the applicant such as name, date of birth, gender, address, Aadhaar number, and other PAN numbers. The applicant needs to verify the information provided and sign or provide a thumb impression to confirm the details and number of documents enclosed in support of the changes requested.

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Prashant Darekar
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© Attribution Non-Commercial (BY-NC)
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65 views1 page

Pan CR Form

This document is a request form for applying for a new PAN card or making changes or corrections to an existing PAN card. It requests basic information about the applicant such as name, date of birth, gender, address, Aadhaar number, and other PAN numbers. The applicant needs to verify the information provided and sign or provide a thumb impression to confirm the details and number of documents enclosed in support of the changes requested.

Uploaded by

Prashant Darekar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Request For New PAN Card Or/ And Changes Or Correction in PAN Data

Signature/ Left thumb impression across this photo

Permanent Account Number (PAN)

Please read Instructions 'h' & 'i' for selecting boxes on left margin of this form.

1 Full Name (Full expanded name to be mentioned as appearing in proof of identity/address documents: initials are not permitted)
Please select title,
Last Name / Surname

as applicable

Shri

Smt

Kumari

M/s

First Name Middle Name

Name you would like it printed on the PAN card

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

3 Date of Birth/Incorporation/Agreement/Partnership/Trust Deed/ Formation of Body of individuals or Association of Persons


Day Month Year

4 Gender (for 'Individual' applicant only) 5 Photo Mismatch 6 Signature Mismatch 7 Address for Communication
Name of office (to be filled only in case of office 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

Male

Female

(Please tick as applicable)

Residence

Office

(Please tick as applicable)

Pincode / Zip code

Country Name

8 If you desire to update your other address also, give required details In additional sheet. 9 Telephone Number & Email ID details
Country code Email ID Area/STD Code Telephone / Mobile number

10 AADHAAR number (if allotted) 11 Mention other Permanent Account Numbers (PANs) inadvertently allotted to you

PAN 1 PAN 2
12 Verification

PAN 3 PAN 4

I/We , the applicant, in the capacity of do hereby declare that what is stated above is true to the best of my/our information and belief. I/We have enclosed Place D Date D M M Y Y Y Y Signature / Left Thumb Impression of Applicant (inside the box) (number of documents) in support of proposed changes/corrections.

Download From :www.simpletaxindia.net

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