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Request For New PAN Card Or/ And Changes Or …

Request For New PAN card Or/ And Changes Or Correction in PAN DataPermanent Account Number (PAN)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 applicableShriSmtKumariM/sLast Name / SurnameFirst NameMiddle NameName you would like it printed on the PAN card2 Father's Name (Only 'Individual' applicants: Even married women should fill in father's name only)Last Name / SurnameFirst NameMiddle Name3 Date of Birth/Incorporation/Agreement/Partnershi p/Trust Deed/ Formation of Body of individuals or Association of Persons 4 Gender (for 'Individual' applicant only)MaleFemale(Please tick as applicable)5 Photo Mismatch6 Signature Mismatch7 Address for Communication ResidenceOffice(Please tick as applicable)Name of office (to be filled only in case of office address)Flat/Room/ Door / Block No. Name of Premises/ Building/ VillageRoad/Street/ Lane/Post OfficeArea / Locality / Taluka/ Sub- DivisionTown / City / DistrictState / Union TerritoryPincode / Zip codeCountry Name8If you desire to update your other address also, give required details In additional Number & Email ID details Country codeArea/STD CodeTelephone / Mobile numberEmail ID10 AADHAAR number (if allotted)11 Mention other Permanent Account Numbers (PANs) inadvertently allotted to youPAN 1 PAN 3 PAN 2 PAN 412 VerificationI/We, the applicant, in the capacity ofI/We have enclosed (number of docum)

INSTRUCTIONS FOR FILLING REQUEST FOR NEW PAN CARD OR/AND CHANGES OR CORRECTION IN PAN DATA (a) Form to be filled legibly in BLOCK LETTERS and preferably in BLACK INK. ...

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