FORMNo.

49A
APPLICATIONFORALLOTMENTOFPERMANENTACCOUNTNUMBER
[INTHECASEOFINDIANCITIZENS/INDIANCOMPANIES/ENTITIESINCORPORATEDININDIA/
UNINCORPORATEDENTITIESFORMEDININDIA]
SeeRule114
Toavoidmistake(s),pleasefollowtheaccompanyinginstructionsandexamplesbeforefillinguptheForm

Assessingofficer(AOcode)
Sign/leftTumbimpressionacrossthis
photo
Areacode AOtype Rangecode AONo.

Sir,

I/Weherebyrequestthatapermanentaccountnumberbeallottedtome/us.
I/Wegivebelownecessaryparticulars:

1 FullName(Fullexpandednametobementionedasappearinginproofofidentity/dateofbirth/addressdocuments:initialsarenotpermitted)
Pleaseselecttitle, asapplicable Shri Smt. Kumari M/s

LastName/Surname

FirstName

MiddleName

2 Abbreviationoftheabovename,asyouwouldlikeit,tobeprintedonthePANcard

3 Haveyoueverbeenknownbyanyothername? Yes No (pleasetick)asapplicable)

Ifyes,pleasegivethatothername
Pleaseselecttitle, asapplicable Shri Smt. Kumari M/s

LastName/Surname

FirstName

MiddleName

4 Gender(forIndividualapplicantsonly) Male Female (Pleasetickasapplicable)

5 DateofBirth/Incorporation/Agreement/PartnershiporTrustDeed/FormationofBodyofindividualsorAssociationofPersons
Day Month Year

6 DetailsofParents(applicableonlyforindividualapplicants)
Father'sName(Mandatory.Evenmarriedwomenshouldfillinfather'snameonly)

LastName/Surname

FirstName

MiddleName

Mother'sName (optional)

LastName/Surname

FirstName

MiddleName

SelectthenameofeitherfatherormotherwhichyoumayliketobeprintedonPANcard(Selectoneonly)
(IncasenooptionisprovidedthenPANcardwillbeissuedwithfather'sname)

Father'sname Mother'sname (Pleasetickasapplicable)

7 Address
ResidenceAddress

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 Flat/Room/Door/BlockNo.

NameofPremises/Building/Village

Road/Street/Lane/PostOffice

Area/Locality/Taluka/SubDivision

Town/City/District
State/UnionTerritory Pincode/Zipcode CountryName

OfficeAddress
Nameofoffice
Flat/Room/Door/BlockNo.

NameofPremises/Building/Village

Road/Street/Lane/PostOffice

Area/Locality/Taluka/SubDivision

Town/City/District
State/UnionTerritory Pincode/Zipcode CountryName

8 AddressforCommunication Residence Office (Pleasetickasapplicable)

9 TelephoneNumber&EmailIDdetails
Countrycode Area/STDCode Telephone/Mobilenumber

EmailID

10 Statusofapplicant
Pleaseselectstatus, asapplicable Government

Individual Hinduundividedfamily Company PartnershipFirm AssociationofPersons

Trusts BodyofIndividuals LocalAuthority ArtificialJuridicalPersons LimitedLiabilityPartnership

11 RegistrationNumber(forcompany,firms,LLPs,etc.)

12 IncaseofacitizenofIndia,then

PleasementionyourAADHAARnumber(ifallotted)

13 SourceofIncome Pleaseselectstatus, asapplicable

Salary CapitalGains

IncomefromBusiness/Profession Business/Professioncode [ForCode:Referinstructions] IncomefromOthersources

IncomefromHouseproperty Noincome

14 RepresentativeAssessee(RA)
Fullname,addressoftheRepresentativeAssessee,whoisassessibleundertheIncomeTaxActinrespectoftheperson,whoseparticularshavebeengiveninthecolumn1
13.

FullName(Fullexpandedname:initialsarenotpermitted)
Pleaseselecttitle, asapplicable Shri Smt. Kumari M/s

LastName/Surname
FirstName

MiddleName

Address
Flat/Room/Door/BlockNo.

NameofPremises/Building/Village
Road/Street/Lane/PostOffice

Area/Locality/Taluka/SubDivision

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 Town/City/District
State/UnionTerritory Pincode

15 DocumentssubmittedasProofofIdentity(POI)andProofofAddress(POA)

I/Wehaveenclosed asproofofidentity,

asproofofaddressand asproofofdateofbirth
[Pleaserefertotheinstructions(asspecifiedinRule114ofI.T.Rules,1962)forlistofmandatorycertifieddocumentstobesubmittedasapplicable]

16 I/We ,theapplicant,inthecapacityof
doherebydeclarethatwhatisstatedaboveis truetothebestofmy/ourinformationandbelief.

Place

D D M M Y Y Y Y Signature/LeftThumbImpressionof
Date Applicant(insidethebox)

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 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:

Ite Item Details Guidelines for filling the form
m
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 Name/Surname
R A V I K A N T
First Name

Middle Name

For example SURESH SARDA should be written as :

Last Name/Surname
S A R D A
First Name
S U R E S H
Middle Name

For example POONAM RAVI NARAYAN should be written as:

Last Name/Surname
N A R A Y A N
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 Name/Surname
R A O
First Name
S A T Y A M
Middle Name
V E N K A T M K

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 For example M. S. KANDASWAMY(MADURAI SOMASUNDRAM KANDASWAMY) should be written as :
Last Name/Surname
K A N D A S W A M Y
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 Name/Surname
X Y Z D A T A C O R P O R A T I O N ( I N D
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 Name/Surname
M A N O J M A F A T L A L D A V E ( H U F )
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 abbreviated,
the full name to should necessarily contain the last name. For example:
be printed on
the PAN card SATYAM VENKAT M. K. RAO which is written in the Name field as :
Last Name/Surname
R A O
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 If applicant selects 'Yes', then it is mandatory to provide details of the other name. Instructions in Item No. 1 with
been known by respect to name apply here. Title should be similar to the title mentioned in Item No. 1.
any other
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/Incorporat
ion/ Agreement D D M M Y Y Y Y
/Partnership or
0 2 0 8 1 9 7 5
Trust
Deed/Formation
of
Body of

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 Individuals/ Relevant date for different categories of applicants is:
Association of
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.
6 Fathers Name Applicable to Individuals only. Instructions in Item No.1 with respect to name apply here. Married woman 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 this field
office 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 necessarily
communication indicate 'Office' as the Address for Communication.

All communication will be sent at the address indicated in this field.

9 Telephone (1) Telephone number should include country code(ISD code) and STD code or Mobile No. should include Country
Number and E- code(ISD Code).
mail ID
For example :
(i) Telephone number 23555705 of Delhi should be written as

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

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 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
04 Chartered Accountant/Accountancy 14 Members of Stock Exchange, Share Brokers and Sub-
Brokers
05 Interior Decoration 15 Performing Arts and Yatra
06 Technical Consultancy 16 Operation of Ships, Hovercraft, Aircrafts or Helicopters
07 Company Secretary 17 Plying Taxis, Lorries, Trucks, Buses or 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 Section 160 of Income Tax Act, 1961 provides that any person(assessee) can be represented through Representative
address of Assessee. Therefore, this column should be filled in by representative assessee only as specified in Section 160 of
Representative the Income-tax Act, 1961, such as, an agent of the non-resident, guardian or manager of a minor, lunatic or idiot,
Assessee 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 is also required for representative assessee.
15 Proof of It is mandatory to attach proof of identity and proof of address with PAN application. Documents should be in
Identity and the name of applicant. List of documents which will serve as proof of identity and address for each status of
Proof of applicant is as given below:
Address
documents
Document acceptable as proof of identity and address as per Rule 114 of Income Tax Rules, 1962
For Individuals and HUF
Sr.
Proof of Identity (Copy of) Proof of address (copy of)
No
1 School Leaving Certificate Electricity Bill^
2 Matriculation Certificate Telephone Bill^
3 Degree of recognised educational institution Employer Certificate^
4 Depository Account Statement Depository Account Statement^
5 Bank Account Statement / Passbook Bank Account Statement / Passbook^
6 Credit Card Credit Card Statement^
7 Water Bill Rent Receipt^
8 Ration Card Ration Card
9 Property Tax Assessment Order Property Tax Assessment Order
10 Passport Passport
11 Voter Identity Card Voter Identity Card
12 Driving License Driving License
13 Certificate of identity signed by Member of Parliament or Member of Certificate of address signed by Member of Parliament or
Legislative Assembly or Municipal Councillor or a Gazetted Officer. Member of Legislative Assembly or Municipal Councillor or
a Gazetted Officer.
Note :- Note:

1. In case of Minor, any of the above mentioned documents as proof of identity and 1. Proof of Address is required for residence address
address of any of parents/guardians of such minor shall be deemed to be the proof of mentioned in item no. 7.
identity and address for the minor applicant.
2. In case of an Indian citizen residing outside India, copy of
2. For HUF, an affidavit made by the Karta of Hindu Undivided Family stating name, Bank Account Statement in country of residence or copy of
fathers name and address of all the coparceners on the date of application and copy of Non-resident External(NRE) bank account statements.
any of the above documents in the name of Karta of HUF is required.

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

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4 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 Artificial commissioner or registrar of cooperative society or any other competent authority or any
Juridical Person other document originating from any Central or State Government Department establishing
identity and address of such person.

16 Signature / Thumb Application must be signed by (i) the applicant; or (ii) Karta in case of HUF; or (iii) Director of a Company;
impression 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 Rs. 85/- (plus service tax, as applicable). In case, the PAN card is to be dispatched
outside India then additional dispatch charge of Rs 850 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 acknowledgment
number can be used for tracking the status of the application.

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

Income-tax Department NSDL UTIITSL

Website www.incometaxindia.gov.in www.tin-nsdl.com www.utiitsl.com

Call 0124-2438000 02027218080 022-67931300

Center

Email ID tininfo@nsdl.co.in utiitsl.gsd@utiitsl.com

SMS SMS
NSDLPAN<space>Acknowledgement
No. & send to 57575 to obtain
application status.
Address INCOME TAX PAN SERVICES IT PAN Service
UNIT (Managed by National Centres(managed by
Securities Depository Limited), UTIITSL) PB no 20, Plot
3rd Floor, Sapphire Chambers, no 3, Sector- 11, CBD-
Near Baner Telephone Belapur Navi Mumbai
Exchange, Baner, Pune 411 400614
045.

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