Form ITS 49A

Top of Form
uti/new app/panap panAppl create create The application ha 350

paymentDetails_0

Application (Pan Card India) for allotment of Permanent Account Number - Form 49A
Under section 139A of the Income-Tax Act, 1961
To avoid mistakes, please refer guidelines and instructions

Individual
Status of the Applicant.*
Please select this first

To, Area Code * AO Type * Range Code * AO No *

The Assessing Officer
Ward/Cir
cle

Range

Commissi
oner

Sir,
I/We hereby request that a
permanent account number
be allotted to me/us.
I/We give below the
necessary details:

Full Name*

Shri
Last Middl First
Nam e Nam
e Name e
Name on Card *

No
Are you known by any other name?

Shri
Last Middl First
Nam e Nam
e Name e

Father's Name *

Last Middle First

Name Name Name

Address *
Residential Address
Flat/Door/Block Number

Name of Premises/Building/Village

Road/Street/Lane/Post Office

Area/Locality/Taluka/Sub-Division

Town/City/District

State/Union Territory

PIN Code

Office Address
Name of the Office

Flat/Door/Block Number

Name of Premises/Building/Village
Road/Street/Lane/Post Office

Area/Locality/Taluka/Sub-Division

Town/City/District

State/Union Territory

PIN Code

Address for Communication *

STD Code Telephone number

Telephone number

Email ID *
Male
Sex *
Date of Birth /
Incorporation/Agreement/Partnership or Trust
Deed/Formation of Body of
Individuals/Association of Persons
Registration Number

Are you a citizen of India? Yes

Are you a salaried Employee?

Name of the organization :

Are you are engaged in a business / profession?

Select the nature of business or profession

 Indicate other sources of income, if any

Full name and address of the Representative Assessee, who is assessable under the Income
Tax Act in respect of the person, whose particulars have been given above

Shri
Last Middl First
Nam e Nam
e Name e

Flat/Door/Block Number

Name of Premises/Building/Village

Road/Street/Lane/Post Office

Area/Locality/Taluka/Sub-Division

Town/City/District

State/Union Territory

PIN Code

Which of these documents are you

submitting as an Identity Proof *
Which of these documents are you
submitting as an Address Proof *
Demand Draft or Pay Order
Payment Mode*

DD/Pay Order Number *

DD/Pay Order Date *

Bank Name *

Bank Branch *

Submit

Bottom of Form