Form 49A

Application (Pan Card India) for allotment of Permanent Account Number - Form 49A
Under section 139A of the Income-Tax Act, 1961
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Status of the Applicant.*
Please select this first
To,
The Assessing Officer
AREACODE AO Type Range Code AO No
WARD/CIRCLE
Range
Commissioner
Sir,
 I/We hereby request that a permanent account number be allotted to me/us.
 I/We give below the necessary details:

Full Name*
Last Name/Surname
First Name
Middle Name
Name on Card *
Have you been known by any other name?
Gender *
Date of Birth / Incorporation/Agreement/Partnership or Trust Deed/Formation of Body of Individuals/Association of Persons   DD/MM/YYYY
Father's Name(Only 'Individal' applicants:Even married woman should fill in father's name only) *
Last Name/Surname
First Name
Middle 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
Pincode/Zip code
Country Name
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
Country Name
Address for Communication *
Telephone number Country Code

Area/STD Code

Telephone/Mobile number
Email ID
Please Mention your AADHAAR number(if alloted)
Are you a citizen of India?

  Are you a salaried Employee?  
Are you are engaged in a business / profession?
 Income from House Property
 Capital Gains
 Income from Other source
 No Income

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
Last Name/Surname
First Name
Middle Name
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 *
Which of these documents are you submitting as a DOB Proof *
You do hereby declare that whatever stated above is true in the capacity of *
Verifier Place *