Form 49A (Apply & Sign using Digital Signature/ Aadhaar based e-Sign, OR Aadhaar holders! Apply using e-KYC option.)

Application (PAN Card India) for allotment of Permanent Account Number - Form 49A
Date: 26-May-2017 (Version : 1.6)
Under section 139A of the Income-Tax Act, 1961
To avoid mistakes, please refer Guidelines and Instructions

Browser settings for enabling Digital Signature (DSC).

Aadhaar holders ! Click here for opting Aadhaar based e-KYC option 
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
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:

1. Full Name*
Last Name/Surname
First Name
Middle Name
2. Name on Card *
3. Have you been known by any other name?
4. Gender *
5. Date of Birth / Incorporation/Agreement/Partnership or Trust Deed/Formation of Body of Individuals/Association of Persons DD/MM/YYYY
6. 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)

7. 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
Pincode/Zip code
Country Name

8. Address for Communication *

9. Telephone number Telephone ISD Code

Area/STD Code

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

13. Source Of Income
  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

14. Representative Assessee(RA)
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

15.Documents submitted as Proof of Identity(POI),Proof of Address(POA)and Date of Birth Proof
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 *

16. You do hereby declare that whatever stated above is true in the capacity of *
Verifier Name
Verification Place

17. 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