CSF Form (Apply using your Digital Signature Certificate (Class II/Class III DSC) OR Aadhaar based eSign for signing form online )

Request For New PAN Card Or/And Changes Or Correction in PAN Data

To avoid mistakes, please refer Guidelines and Instructions

Browser settings for enabling Digital Signature (DSC).


Applicant before filling up the form should select one of the following Form Signing Options.
Sign Using Digital Signature Certificate (Class II / Class III DSC) Sign Using Aadhaar based eSign
      PAN Application Fee Rs. 107.00       PAN Application Fee Rs. 107+5.75
Note:The above amount is applicable only for card dispatch within India. For card dispatch outside India and Signing using DSC the fee will be Rs. 994.
           If signed Using eSign an additional fee of Rs. 5.75 will be levied.
Status of the Applicant.*
Please select this first

Permanent Account Number (PAN)*

Applicant has to fill in all the mandatory fields freshly but select tick mark only in the box(es) relevant to the fields (from sr. no. 1 to 11) that require a change/correction.
All mandatory fields are indicated by * on this form page. Clicking on the Box indicated by puts a tick mark marking the field for applying the change/correction.

1. Full Name* (Full extended name, address, dob to be mentioned as appearing in proof of identity /address/ dob documents. Initials are not allowed)
        
Last Name/Surname
First Name
Middle Name
        Name you would like it printed on the PAN card*
 2. Details of Parents(applicable only for Individual applicants) *
             Father's Name(Mandatory - Even married woman should fill in father's name only) *
            Last Name/Surname
First Name
Middle Name
            Mother's Name (optional)
            Last Name/Surname
First Name
Middle Name
            Select the name of either father or mother which you may like to be printed on PAN card (Select one only)
            (In case no option is provided then PAN card will be issued with father's name)
 3. Date of Birth / Incorporation/Agreement/Partnership or Trust Deed/Formation of Body of Individuals/Association of Persons          *  
 4. Gender(for 'Individual' applicant only) *

  5. Photo Mismatch *
  6. Signature Mismatch *

 7. Address for Communication *
        Name of the Office (to be filled only in case of office 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 *
        Country Name *
 8. If you desire to update your other address also, give required details in additional sheet
 9. Telephone number Telephone ISD Code

Area/STD Code

Telephone/Mobile number*
        Email ID *
 10. AADHAAR number(if alloted)  

 11. Mention the Permanent Account Number(PANs) inadvertently alloted to you
        PAN 1  
PAN 3  
        PAN 2  
PAN 4  

        12.Verification
        I/We   the applicant, in the capacity of do hereby declare that what is started above is true to the best of my/our information and belief.
        I/We have enclosed (number of documents) in support of proposed changes/corrections.

Place
Date  

Identity Proof *
Address Proof *
DOB Proof *
PAN Proof *

Applicant Photo and Signature Files.
Scanning Specification
Applicant Photo File        
  • Photo Scanning 300 dpi,Colour,213 X 213 px (Size:less than 30 kb)
  • Signature scanning 600 dpi black and white (Size:less than 60 kb)
Applicant Signature File