* Whether citizen of India                Yes      No
  * Permanent Account Number (PAN)
* 1.Name
  Title        Shri/Mr        Smt./Mrs.        Kumari/Ms        M/s
 
Last Name/Surname
First Name
Middle Name
  * 2.Name as you would like it printed on the card (Prefix like Shri, Smt, Kumari, Late, Dr, CA, Ms, Mr, Mrs, M/s, Alias etc. are not allowed)
 
  Details of Parents. (Prefix like Shri, Smt, Kumari, Late, Dr, CA, Ms, Mr, Mrs, M/s, Alias etc. are not allowed.)
  Whether mother is single parent and you wish to apply for PAN by furnishing the name of your mother only Yes     No
* 3.Father's Name (Mandatory field. Even married women should give father's name only.)
 
Last Name/Surname
First Name
Middle Name
Mother's Name(This field is optional.)
 
Last Name/Surname
First Name
Middle Name
  * 4. Select Parent name which is to be printed on the card
(In case no option is provided then PAN card will be issued with father's name) 		Father Name    Mother Name
* 5. Date of Birth/Incorporation/Agreement/Partnership
or Trust Deed/Formation of Body of Individuals/
Association of Persons
DD MM YYYY
* 6. Gender Male    Female    TransGender
  7. Photo Mismatch
  8. Signature Mismatch
* 9. Address for Communication Residential    Office
  Office Name (to be filled only in case of office address)
  Flat/Door/Block No.
  Name of Premises/Building/Village
  Road/Street/Lane/Post Office
  Area/Locality/Taluka/Sub-Division
  Town/City/District
  State/Union Territory
  PIN(Indicating PIN is mandatory)
  Country
  Zip
10. If you desire to update your other address, give required details & Submit proof of other address also.
* 11. Telephone No.
(Country code is compulsory) 		Country code (ISD code)

Mobile No. Telephone No.
Area/STD Code
Telephone No./Mobile No.
  E-mail ID
  In case of a citizen of India, then AADHAAR    EID
* 12. AADHAAR number :
In case AADHAAR number is provided, then proof of AADHAAR along with supporting documents is to be submitted to NSDL
  * Name as per AADHAAR letter
or
as per the enrollment ID of Aadhaar application form

  13. GSTN
14. Mention other Permanent Account Numbers (PANs) if any,inadvertently allotted to you. Submit proof of surrendered PAN(s) along with the application.
  PAN1 PAN2
  PAN3 PAN4
  15. Verification
  I/We ,the applicant,in the capacity of do hereby declare that what is stated above is true to the best of my information and belief.
I have enclosed (number of documents) in support of proposed changes/corrections.
  Place
 
DD MM YYYY
Verified today, the
  I/We have enclosed
as proof of identity, as proof of address, as proof of date
of birth and as proof of PAN allotted.
  Whether you wish to have?   Physical PAN Card & e-PAN Card Only e-PAN Card    Fees Applicable
  Other Details
  1. Depository Account Details
  DP ID:   Client ID:
  2. Payment Details
Online Payment
For Paperless PAN Application: Yes   No
DSC    Guidelines for DSC user
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