Beruflich Dokumente
Kultur Dokumente
49A
Application for Allotment of Permanent Account Number
Only 'Individuals' Only 'Individuals'
to affix recent [In the case of Indian Citizens/Indian Companies/Entities to affix recent
colour incorporated in India/Unincorporated entities formed in India] colour
photograph photograph
See Rule 114
(3.5 cm x 2.5 cm) (3.5 cm x 2.5 cm)
A2086172
Sir, I/We hereby request that a permanent account number be allotted to me/us.
I/We give below necessary particulars: Signature of applicant (inside the box)
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
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
Email ID PRANAVTRIPATHI.MI@GMAIL.COM
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
12 In case of a person, who is required to quote Aadhaar number/The Enrolment ID of Aadhaar application form as
per section 139AA
Please mention your AADHAAR number (if allotted) 2 4 4 0 6 6 6 2 2 4 7 1
If AADHAAR number is not allotted, please mention the enrolment ID of Aadhaar application form
Name as per AADHAAR letter/card or as per the Enrolment ID of Aadhaar application form
P R A N A V T R I P A T H I
13 Source of Income
Please select, as applicable
Salary Capital Gains
Income from Business/Profession Business/Profession Code Income from Other sources
Income from House property No income
Page 2 of 3 / A2086172
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/Zipcode Country Name
15 Documents submitted as Proof of Identity (POI), Proof of Address (POA) and as Proof of Date of Birth (DOB)
I/We have enclosed DRIVING LICENSE as proof of identity,
Place KANPUR
D D M M Y Y Y Y
Date 2 0 0 4 2 0 1 9
Page 3 of 3 / A2086172
FROM: | TO:
PRANAV TRIPATHI | THEPANCARD.COM
CUSTOMER CODE: A2086172 | DOOR NO. 41, 4TH FLOOR, TOWER I,
50 A GANGA NAGAR | SHAKTHI TOWERS,
50 A GANGA NAGAR HOUSING NAWABGANJ | #766, ANNA SALAI, CHENNAI,
| TAMIL NADU - 600002.
UTTAR PRADESH - 208002. |