AI OCR 
TaxTMI 
TaxTMI 
TaxTMI 
Request For Changes Or Correction in PAN Data Or/ And reprint of New PAN Card
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....nsgender 2. Tick Male Tick Date of Birth 3. m yyyy d d m 4. Tick Address Residence Office (select one) Flat/Door/Building Road/Street/Block/Sector Post Office Area/Locality/Town/City District State/Union Territory Country/Region PIN / ZIP CODE Tick Passport Number 5. Taxpayer Identification Number in the Country of Residence 6. Tick Contact Details 7. (i) Mobile Number Country Code Mobile Number (ii) Email ID (iii) Landline No. with Country/ISD Code and Area/STD Code (if any) Country/ISD Code Area/STD Code Landline Number PART B - Details of Parents 8. Tick Father's First Name Father's Middle Name Father's Last Name 9. Tick Mother's First Name Mother's Middle Name Mother's Last Name 10. Name of parent to be printed on Permanent Account Number card (select one) Father Mother Part C: Declaration by Applicant or by Representative Assessee on behalf of the Applicant 11. Documents submitted as Proof of Identity, Proof of Address, Proof of Date of Birth of the Applicant & Proof of Change in support of proposed changes / corrections requested by th....
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....t field along with the other mandatory fields in the form. Part A: Personal Information S. No. Name to be written in S. No. 1 A as: First Name Middle Name Last Name R A VIKAN T 1 Name & Name as per Aadhaar Name on Aadhaar is RAVIKANT, it should be written in S. No. 1 B as: T N R A I K Name on Aadhaar is SURESH SARDA, it should be written in S. No. 1 B as: First Name S U R E S H Middle Name Last Name S A R D A S U RESH S AR D A Name on Aadhaar is POONAM RAVI NARAYAN, it should be written in S. No. 1 B as: POONAM RAV I NARAYAN First Name P OON A M Middle Name R A V I Last Name N A R A Y A N Name on Aadhaar is M.S. KANDASWAMY (MADURAI SOMASUNDRAM KANDASWAMY), it should be written in S. No. 1 B as: M S K A N DAS W A M Y First Name MADURAI Middle Name S O MASUNDRAM Last Name K A NDA S W AMY (i) It is a mandatory field. (ii) Name should not be prefixed with any title such as Shri/Mr, Smt/Mrs, Kumari/Ms, Dr., Major etc. iii) Do not use abbreviations in the Name column of S. No. 1 A. iv) If Aadhaar name contains initials, then expanded name should be filled in the Na....
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.... yyyy d d m m Tick Office Address 3. Flat/Door/Building Road/Street/Block/Sector Post Office Area/Locality/Town/City District State/Union Territory Country/Region PIN / ZIP CODE Tick Taxpayer Identification Number in the country of residence 4. Tick Contact Details 5. Country Code (i) Mobile Number Mobile Number (ii) Email ID (iii) Landline No. with Country/ISD Code and Area/STD Code (if any) Country/ISD Code Area/STD Code Landline Number PART B- Declaration by Applicant 6. Documents submitted as Proof of Identity, Proof of Address, Proof of Date of Incorporation/Agreement/Partnership or Trust Deed/Formation of Body of Individuals or Association of Persons of the Applicant Tick (iii) Proof of Address Tick (i) Proof of Identity Tick (iv) Proof of PAN Tick (ii) Proof of Date of Incorporation/Agreement/Partnership or Trust Deed/Formation of Body of Individuals or Association of Persons Verification & Declaration a. l , .... in the capacity of do hereby declare that what is stated above is true to the best of my knowledge and belief. Designation. Place. Date (Signature /Left H....
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.... August 1975 should be written as: D D M M Y Y Y Y 0 2 0 8 1 9 7 5 (iii) Relevant date for different categories of applicants is: 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. (i) It is mandatory to fill complete office address. It is mandatory to provide Country Name and ZIP Code, if a foreign address is provided. Office Address 3 (ii) Taxpayer Identification Number (TIN) in the Country of Residence It is mandatory to provide TIN for an entity incorporated outside India/an Unincorporated Entity formed outside India. 4 5 Contact Details a It is mandatory for the applicants to mention their "Mobile Number and "e-mail id". b) Mobile Number should include Country Code (ISD Code) and Landline Number (if any) should include Country/ISD Code and Area/STD Code. (i) Mobile Number 9102511111 of India should be written as: Mobile Number Country Code 1 9 1 0 2 5 1 1 1 1 1 Where '91' is the Country Code of India. (ii) Email ID: - (iii) Landli....
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....s (PANs) inadvertently allotted to you PAN 1 PAN 2 PAN 3 12 Verification I/We the applicant, in the capacity of 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. PAN 4 do hereby Place D DMMYYYY Date Signature/Left Thumb Impression of Applicant (inside the box) Note: As per provisions of Section 272B of the Income Tax Act., 1961, a penalty of 10,000 can be levied on possession of more than one PAN. INSTRUCTIONS FOR FILLING REQUEST FOR CHANGES OR CORRECTION IN PAN DATA OR/AND REPRINT OF NEW PAN CARD (a) Form to be filled legibly in BLOCK LETTERS and preferably in BLACK INK. Form should be filled in English only (b) Mention 10 digit PAN correctly. (c) Each box, wherever provided, should contain only one character (alphabet /number / punctuation sign) leaving a blank box after each word. (d) '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 dep....
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....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. 2 3 Abbreviation of the full Iname to be printed on the PAN card Details of Parents (Applicable to Individuals only) Date of Birth/ Incorporation/ Agreement/ Partnership or Trust Deed/Formation of Body of Individuals/ Association of Persons 4 Gender 5 & 6 Photo/signature Mismatch For example XYZ DATA CORPORATION (INDIA) PRIVATE LIMITED should be written as : Last Name/Surname First Name Middle Name XYZ DATA CORPORATION (IND) IA) PRIVATE LIMITED For example MANOJ MAFATLAL DAVE (HUF) should be written as : Last Name/Surname First Name Middle Name MANOJ MAFATLAL DAVE (HUF) 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 ti....
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.... Thumb impression (2) 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. If applicant wishes to update other address, besides address for communication, box on left margin should be ticked and details of address be provided on an additional sheet in similar format as prescribed in Item No. 7. (1) Telephone number should include country code (ISD code) and STD code or Mobile No. should include Country code (ISD Code). For example: (i) Telephone number 23555705 of Delhi should be written as Country code â˜91 STD Code 11 Telephone Number / Mobile number 23555705 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 code STD Code â˜91 Telephone Number / Mobile number Where '91' is the country code of India. 9102511111 (2) It is mandatory for the applicants to mention either their “Telephone number" or valid “e-mail id" so ....
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.... In case, the PAN card is to be dispatched outside India then additional dispatch charge of 910/- will have to be paid by applicant. If physical PAN Card is not required 72/- (including goods & service tax) will have to be paid by the applicant. PAN applicants will have to mention on the top of the application form "Physical PAN Card not required". In such cases, email ID will have to be mandatorily provided to receive e-PAN Card. (c) It is mandatory to attach proof of identity, proof of address and proof of date of birth with PAN application. Changes or corrections desired in PAN particulars should be supported by any one or combination of the relevant documents mentioned below: 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 Indian Citizens (including those located outside India) Individuals & HUF (i) Copy of Proof of date of birth Passport; or a. Aadhaar Card issued by the Unique a. Identification Authority of India; or b. Elector's photo identity card; or b. C. Driving License; or C. (i) Copy of Aadhaar Card issued by the Unique Identification Authority of....
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....ervicemen Contributory Health (f) Depository account statement; or (g) Credit card statement; or Scheme photo card; or j. Pension payment order; or k. Marriage certificate issued by (iii) Certificate of address in Original signed by a Member of Parliament or Member of Legislative Assembly I. or Municipal Councilor or a Gazetted officer, as the case may be; or (iv) Employer certificate in original. Registrar of Marriages; or Affidavit sworn before a magistrate stating the date of birth. Note: 1. 2. Note: 1. In case of Minor, any of the above mentioned documents as proof of identity and address of any of parents/guardians of such minor 2. shall be deemed to be the proof of identity and address for the minor applicant. For HUF, an affidavit made by the Karta of Hindu Undivided Family stating name, father's name and address of all the coparceners on the date of application and copy of any of the above documents in the name of Karta of HUF is required as proof of identity, address and date of birth. Other than Individuals and HUF 1 Company 2 Partnership Firm 3 Limited Liability Partnership 4 Association of Persons (Trust) 5 Association of ....
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.... of residence, or Copy of Non-resident External (NRE) bank account statement in India, or (g) Copy of Certificate of Residence in India or Residential permit issued by the State Police Authorities, or (h) Copy of Registration certificate issued by the Foreigner's Registration Office showing Indian address, or (i) Copy of Visa granted & Copy of appointment letter or contract from Indian Company & Certificate (in original) of Indian address issued by the employer. For other than Individuals (Foreign companies/Entities incorporated outside India/Unincorporated entities formed outside India) (a) Copy of Certificate of Registration issued in the country (a) where the applicant is located, duly attested by "Apostille" (in respect of the countries which are signatories to the Hague Convention of 1961) or by the Indian Embassy or High Commission or Consulate in the country where the applicant is located, or authorised officials of overseas branches of Scheduled Banks registered in India, or (b) Copy of registration certificate issued in India or of approval granted to set up office in India by Indian Authorities. Proof of PAN (a) Copy of PAN Card; or (b) Copy of P....