Form No.

49A
Application for Allotment of Permanent Account Number
[In the case of Indian Citizens/lndian Companies/Entities incorporated in India/ Only
Only
‘Individuals’ Unincorporated entities formed in India] ‘Individuals’
to affix récent Under section 139A of the Income Tax act, 1961 to affix recent
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.

Sign/ Left Tumb 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 Father’s Name (Only ‘individual’ applicants : Even married women should fill in father’s name only)

Last Name / Surname

First Name

Middle Name

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

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 Please mention your AADHAAR number (if allotted)

13 Source of Income

Please select,  as applicable

Salary Capital Gains

Income from Business / Profession Business/Profession code [For Code: Refer instructions] Income from Other sources

Income from House property No income

14 Representative Assessee (RA)

Full name, address of the Representative Assessee, who is assessible under the Income Tax Act in respect of the person, whose particulars have
been given in the column 1-13.

Full Name (Full expanded name : initials are not permitted)

Please select title,  as applicable Shri Smt. Kumari M/s

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

15 Documents submitted as Proof of Identity (POI), Proof of Address (POA) and Proof of Date of Birth (DOB)

I/We have enclosed as proof of identity,

as proof of address and as proof of date of birth.

[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 A, Annexure B & Annexure C are to be used wherever applicable]

16 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.

Place :

D D M M Y Y Y Y
Signature / Left Thumb Impression of
Date :
Applicant (inside the box)
 INSTRUCTIONS FOR FILLING FORM 49A
(a) Form to be filled legibly in BLOCK LETTERS and preferably in BLACK INK. Form should be filled in English only
(b) Each box, wherever provided, should contain only one character (alphabet /number / punctuation sign) leaving a blank box after
each word.
(c) ‘Individual’ applicants should affix two recent colour photographs with white background (size 3.5 cm x 2.5 cm) in the space
provided on the form. The photographs should not be stapled or clipped to the form. The clarity of image on PAN card will depend
on the quality and clarity of photograph affixed on the form.
(d) Signature / Left hand thumb impression should be provided across the photo affixed on the left side of the form in such a manner
that portion of signature/impression is on photo as well as on form.
(e) Signature /Left hand thumb impression should be within the box provided on the right side of the form. The signature should not
be on the photograph affixed on right side of the form. If there is any mark on this photograph such that it hinders the clear visibility
of the face of the applicant, the application will not be accepted.
(f) Thumb impression, if used, should be attested by a Magistrate or a Notary Public or a Gazetted Officer under official seal and
stamp.
(g) AO code (Area Code, AO Type, Range Code and AO Number) of the Jurisdictional Assessing Officer must be filled up by the
applicant. These details can be obtained from the Income Tax Office or PAN Centre or websites of PAN Service Providers on
www.utiitsl.com or www.tin-nsdl.com
(h) Guidelines for filling the Form 49A:

Item
Item Details Guidelines for filling the form
No.
1 Full Name Please select appropriate title.
Do not use abbreviations in the First and the Last name/Surname. For example RAVIKANT should be
written as :
Last
R A V I K A N T
Name/Surname

First Name

Middle Name

For example SURESH SARDA should be written as :

Last
S A R D A
Name/Surname

First Name S U R E S H

Middle Name

For example POONAM RAVI NARAYAN should be written as:

Last
N A R A Y A N
Name/Surname

First Name P O O N A M

Middle Name R A V I

For example SATYAM VENKAT M. K. RAO should be written as :

Last
R A O
Name/Surname

First Name S A T Y A M

Middle Name V E N K A T M K
 For example M. S. KANDASWAMY (MADURAI SOMASUNDRAM KANDASWAMY) should be written
as :
Last
K A N D A S W A M Y
Name/Surname

First Name M A D U R A I

Middle Name S O M A S U N D R A M

Applicants other than ‘Individuals’ may ignore above instructions.

Non-Individuals should write their full name starting from the first block of Last Name/Surname. If the
name is longer than the space provided for the last name, it can be continued in the space provided for
First and Middle Name.
For example XYZ DATA CORPORATION (INDIA) PRIVATE LIMITED should be written as :
Last
X Y Z D A T A C O R P O R A T I O N ( I N D
Name/Surname

First Name I A ) P R I V A T E L I M I T E D

Middle Name

For example MANOJ MAFATLAL DAVE (HUF) should be written as :

Last
M A N O J M A F A T L A L D A V E ( H U F )
Name/Surname

First Name

Middle Name

In case of Company, the name should be provided without any abbreviations. For example, different
variations of 'Private Limited' viz. Pvt Ltd, Private Ltd, Pvt Limited, P Ltd, P. Ltd., P. Ltd are not allowed.
It should be 'Private Limited' only.
In case of sole proprietorship concern, the proprietor should apply for PAN in his/her own name.
Name should not be prefixed with any title such as Shri, Smt, Kumari, Dr., Major, M/s etc.
2 Abbreviation of Individual applicants should provide full/abbreviated name to be printed on the PAN card. Name, if
the full name to be abbreviated, should necessarily contain the last name. For example:
printed on the PAN
card SATYAM VENKAT M. K. RAO which is written in the Name field as :
Last
R A O
Name/Surname

First Name S A T Y A M

Middle Name V E N K A T M K

Can be written as in ‘Name to be printed on the PAN Card’ column as

SATYAM VENKAT M. K. RAO or
S. V. M. K. RAO or
SATYAM V. M. K. RAO
For non individual applicants, this should be same as last name field in item no. 1 above.

3 Have you ever been If applicant selects ‘Yes’, then it is mandatory to provide details of the other name. Instructions in Item
known by any other No. 1 with respect to name apply here. Title should be similar to the title mentioned in item No. 1.
name?
4 Gender This field is mandatory for Individuals. Field should be left blank in case of other applicants.

5 Date of Date cannot be a future date. Date: 2nd August 1975 should be written as:
Birth/Incorporation /
Agreement /
D D M M Y Y Y Y
Partnership or
Trust
0 2 0 8 1 9 7 5
Deed / Formation of
Body of Individuals /
Association of Relevant date for different categories of applicants is:
Persons Individual: Actual Date of Birth; Company: Date of Incorporation; Association of Persons: Date of formation/
creation; Trusts: Date of creation of Trust Deed; Partnership Firms: Date of Partnership Deed; LLPs: Date
of Incorporation/Registration; HUFs: Date of creation of HUF and for ancestral HUF date can be 01-01-
0001 where the date of creation is not available.

Applicable to Individuals only. Instructions in Item No.1 with respect to name apply here. Married woman
6 Father's Name
applicant should give father's name and not husband's name.

7 Address - R - Residence Address:

Residence and For Individuals, HUF, AOP, BOI or AJP, residential address is mandatory. Other applicants should leave
office this field blank.
O - Office Address:
(1) Name of Office and address to be mentioned in case of individuals having source of income as salary
or Business/profession[Item No.13].
(2) In case of Firm, LLP, Company, Local Authority and Trust, name of office and complete address of
office is mandatory.
For all categories of applicants, it is necessary to mention complete address and the details of Town/
City/District, State/Union Territory, and PINCODE are mandatory.
In case, a foreign address is provided then it is mandatory to provide Country Name along with ZIP
Code of the country.
8 Address for Individuals/HUFs/AOP/BOI/AJP may indicate either 'Residence' or 'Office' and other applicants should
communication necessarily indicate 'Office' as the Address for Communication. All communication will be sent at the
address indicated in this field.
9 Telephone Number (1) Telephone number should include country code (ISD code) and STD code or Mobile No. should
and E­mail ID include Country code (ISD Code).
For example :
(i) Telephone number 23555705 of Delhi should be written as
Country STD Telephone Number / Mobile
code Code number

9 1 1 1 2 3 5 5 5 7 0 5

Where '91' is the country code of India and 11 is the STD Code of Delhi.

(ii) Mobile number 9102511111 of India should be written as

Country STD Telephone Number / Mobile
code Code number

9 1 9 1 0 2 5 1 1 1 1 1

Where ‘91’ is the country code of India.

(2) It is mandatory for the applicants to mention either their ‘‘Telephone number’’ or valid
‘‘e-mail id’’ so that they can be contacted in case of any discrepancy in the application
and/or for receiving PAN through e-mail.
(3) Application status updates are sent using the SMS facility on the mobile numbers mentioned in the
application form.

10 Status of This field is mandatory for all categories of applicants. In case of ‘Limited Liability Partnership’, the PAN will
Applicant be allotated in 'Firm' status.

11 Registration Not applicable to Individuals and HUFs. Mandatory for ‘Company’. Company should mention registration
number number issued by the Registrar of Companies. Other applicants may mention registration number issued
by any State or Central Government Authority.

12 In case of citizen of AADHAAR number, if allotted, has to be quoted (supported by copy of AADHAAR letter/card)
India
13 Source of Income It is mandatory to indicate at least one of the sources of incomes, as mentioned in the form. In case, the
income from Business/profession is selected by the applicant then an appropriate business/ profession
code should be mentioned.

Please refer the table given below to select the business/profession code:

Code Business/ Profession Code Business/ Profession

01 Medical Profession and Business 11 Films, TV and such other entertainment
02 Engineering 12 Information Technology
03 Architecture 13 Builders and Developers
Members of Stock Exchange, Share
04 Chartered Accountant/ Accountancy 14
Brokers Sub-Brokers
05 Interior Decoration 15 Performing Arts and Yatra
Operation of Ships, Hovercraft, Aircrafts
06 Technical Consultancy 16
or Helicopters
Plying Taxis, Lorries, Trucks, Buses or
07 Company Secretary 17
other Commercial Vehicles
08 Legal Practitioner and Solicitors 18 Ownership of Horses or Jockeys
09 Government Contractors 19 Cinema Halls and Other Theatres
10 Insurance Agency 20 Others

14 Name and address Section 160 of Income Tax Act, 1961 provides that any 'specified person' (assessee) can be represented
of Representative through Representative Assessee. Therefore, this column should be filled in by representative assessee
Assessee only as specified in Section 160 of the Income-tax Act, 1961, such as, an agent of the non-resident,
guardian or manager of a minor, lunatic or idiot, Court of Wards, Administrator General, Official Trustee,
receiver, manager, trustee of a Trust including Wakf.

This field will contain particulars of the Representative Assessee. This field is mandatory if applicant
is minor, deceased, idiot, lunatic or mentally retarded. Column 1 to 13 will contain details of person on
whose behalf this application is submitted.

Proof of Identity and Proof of address are also required for representative assessee.

15 Proof of Identity, It is mandatory to attach proof of identity, proof of address and proof of date of birth with PAN application.
Proof of Address Documents should be in the name of applicant. List of documents which will serve as proof of
and Proof of Date identity, address and date of birth for each status of applicant is as given below:
of Birth
documents
 Document acceptable as proof of identity, address and date of birth as per Rule 114 of Income Tax Rules, 1962

Proof of Identity Proof of Address Proof of date of birth

Indian Citizens (including those located outside India)

Individuals & HUF

(i) Copy of (i) Copy of Copy of

a. Aadhaar Card issued by the Unique a. Aadhaar Card issued by the Unique a. Birth Certificate issued by the Municipal
Identification Authority of India; or Identification Authority of India; or Authority or any office authorized to
b. Elector's photo identity card; or b. Elector's photo identity card; or issue Birth and Death Certificate by
c. Driving License; or c. Driving License; or the Registrar of Birth and Death or the
d. Passport; or d. Passport; or Indian Consulate as defined in clause
e. Ration card having photograph of the e. Passport of the spouse; or (d) of sub-section (1) of session 2 of
applicant; or f. Post office passbook having address the Citizenship Act, 1955 (57 of 1955);
f. Arm's license; or of the applicant; or or
g. Photo identity card issued by the Central g. Latest property tax assessment order; b. Pension payment order; or
Government or State Government or or c. Marriage certificate issued
Public Sector Undertaking; or h. Domicile certificate issued by the by Registrar of Marriages;
h. Pensioner card having photograph of Government; or or
the applicant; or i. Allotment letter of accommodation d. Matriculation Certificate; or
i. Central Government Health Service issued by Central or State e. Passport; or
Scheme Card or Ex-Servicemen Government of not more than three f. Driving License; or
Contributory Health Scheme photo years old; or g. Domicile Certificate issued by the
card j. Property Registration Document; Government; or
(ii) Certificate of identity in Original signed or h. Affidavit sworn before a magistrate
by a Member of Parliament or Member (ii) Copy of following documents of not stating the date of birth
of Legislative Assembly or Municipal more than three months old
Councilor or a Gazetted officer, as the (a) Electricity Bill; or
case may be; or (b) Landline Telephone or Broadband
(iii) Bank certificate in Original on letter connection bill; or
head from the branch(alongwith name (c) Water Bill; or
and stamp of the issuing officer) (d) Consumer gas connection card or book
containing duly attested photograph and or piped gas bill; or
bank account number of the applicant (e) Bank account statement or as per Note
2 ; or
(f) Depository account statement; or
(g) Credit card statement; or
(iii) Certificate of identity in Original signed
by a Member of Parliament or Member
of Legislative Assembly or Municipal
Councilor or a Gazetted officer, as the
case may be; or
(iv) Employer certificate in original.

Note: Note:
1. In case of Minor, any of the above 1. Proof of Address is required for
mentioned documents as proof of residence address mentioned in
identity and address of any of item no. 7.
parents/guardians of such minor 2. In case of an Indian citizen residing
shall be deemed to be the proof of outside India, copy of Bank
identity and address for the minor Account Statement in country of
applicant. residence or copy of Non-resident
2. For HUF, an affidavit made by the External (NRE) bank account
Karta of Hindu Undivided Family statements (not more than three
stating name, father’s name and months old) shall be the proof of
address of all the coparceners on the address.
date of application and copy of any of
the above documents in the name of
Karta of HUF is required is required
as proof of identity, address and date
of birth.
Other than Individuals and HUF

1 Company Copy of Certificate of Registration issued by the Registrar of Companies.

2 Partnership Firm Copy of Certificate of Registration issued by the Registrar of Firms or Copy of partnership
deed.
3 Limited Liability Partnership Copy of Certificate of Registration issued by the Registrar of LLPs
4 Association of Persons (Trust) Copy of trust deed or copy of certificate of registration number issued by Charity
Commissioner.
5 Association of Person, Body of Copy of Agreement or copy of certificate of registration number issued by charity
Individuals, Local Authority, or commissioner or registrar of cooperative society or any other competent authority or any
Artificial Juridical Person other document originating from any Central or State Government Department establishing
identity and address of such person.

16 Signature / Thumb impression Application must be signed by (i) the applicant; or (ii) Karta in case of HUF; or (iii) Director
of a Company; or (iv) Authorised Signaturee in case of AOP, Body of Individuals, Local
Authority and Artificial Juridical Person; or (v) Partner in case of Firm/LLP; or (vi) Trustee;
or (vii) Representative Assessee in case of Minor/deceased/idiot/lunatic/mentally retarded.
Applications not signed in the given manner and in the space provided are liable to be
rejected.

GENERAL INFORMATION FOR PAN APPLICANTS

(a) Applicants may obtain the application form for PAN (Form 49A) from any IT PAN Service Centres (managed by UTIITSL)
or TIN-Facilitation Centres (TIN-FCs) / PAN Centres (managed by NSDL), or any other stationery vendor providing
such forms or download from the Income Tax Department website (www.incometaxindia.gov.in) / UTIITSL website
(www.utiitsl.com) / NSDL website (www.tin-nsdl.com).

(b) The fee for processing PAN application is ` 105/- (including service tax). In case, the PAN card is to be dispatched outside India
then additional dispatch charge of ` 866/- will have to be paid by applicant.

(c) Those already allotted a ten digit alphanumeric PAN shall not apply again as having or using more than one PAN is illegal.
However, request for a new PAN card with the same PAN or/and Changes or Correction in PAN data can be made by filling up
‘Request for New PAN Card or/and Changes or Correction in PAN Data’ form available from any source mentioned in (a) above.
The cost of application and processing fee is same as in the case of Form 49A.

(d) Applicant will receive an acknowledgment containing a unique number on acceptance of this form. This acknowledgement
number can be used for tracking the status of the application.

(e) For more information / Application status enquiry contact:

Mode Income-tax Department NSDL

Website www.incometaxindia.gov.in www.tin-nsdl.com
CallCenter 1800-180-1961 020-27218080
Email ID [email protected]
SMS SMS NSDLPAN <space> Acknowledgement No. & send to
57575 to obtain application status. For example u Type 'NSDLPAN
881010101010100' and send to 57575
Address INCOME TAX PAN SERVICES UNIT (Managed by NSDL e-Governance
Infrastructure Limited), 5th Floor, Mantri Sterling, Plot No. 341, Survey
No. 997/8, Model Colony, Near Deep Bunglow Chowk, Pune - 411 016.