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Correction in PAN Data

This document is a request form for a new PAN card or changes/corrections to an existing PAN card. It requests basic individual details like name, father's name, date of birth, gender, address, phone number, email, Aadhaar number, and other PAN numbers. The applicant needs to affix a recent photo, sign or provide a left thumb impression, and declare that the information provided is true to the best of their knowledge. Supporting documents also need to be enclosed with the form.

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Himanshu Patel
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69 views1 page

Correction in PAN Data

This document is a request form for a new PAN card or changes/corrections to an existing PAN card. It requests basic individual details like name, father's name, date of birth, gender, address, phone number, email, Aadhaar number, and other PAN numbers. The applicant needs to affix a recent photo, sign or provide a left thumb impression, and declare that the information provided is true to the best of their knowledge. Supporting documents also need to be enclosed with the form.

Uploaded by

Himanshu Patel
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 XLS, PDF, TXT or read online on Scribd
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Only "Individul's to affix recent photagraph (3.5 cm x 2.

5 cm)

Request for New PAN card Or / And Changes Or Correction in PAN Data

Only "Individul's to affix recent photagraph (3.5 cm x 2.5 cm)

Sign/left thumb impression across this photo

Permanent Account Number (PAN)

Signature/Left Thumb Impression

Please read Instructions 'h' & 'I' for selecting Boxes on left margin of this form. 1 Full Name (Full expended name to be mentioned as appearing in proof of identity /address documents: initials are not permitted) Please select Title, Last Name/Surname First Name Middle Name Name you would like it printed on the PAN Card as applicable Shri Smt. Kumari M/s

2 Father's Name (Only individual applicants : Even married women should fill in fathers name only) Last Name/Surname First Name Middle Name 3 Date of Birth/Incorporation/Agreement/Partnership or Trust Deed/Formation of Body of Individuals or Association of Persons Day Month Year

4 Gender (For individual applicants only) 5 Photo Mismatch 6 Signature Mismatch 7 Address for Communication
Name of Office (to be filled only in case of office address)

Male

Female

(Please tick as appliacble)

Residence

Office

(Please tick as appliacble)

Flat/Room/Door/Block No. Name of Premises/Building Village Road/Streetlane/Post Office Area/Locality/Taluka/Sub-Division Town/City/District State/Union Territory 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 Area/STD Code Telephone/Mobile Number

Email ID 10 AADHARR number (If Alloted) 11 Mension other Permanent Account Numbers (PANs) Inadvertently alloted to you PAN 1 PAN 2 12 Verification I/We , the applicant, in the capacity of PAN 3 PAN 4

do hereby declare that what is stated above is true to the best of my/our information and belief. I/We have enclosed (number of documents) in support of proposed changes/corrections.

Place D Date D M M Y Y Y Y Signature/Left Thumb Impression of Applicant (inside the box)

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