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49A
ApplicationforAllotmentofPermanentAccountNumber
[InthecaseofIndianCitizens/IndianCompanies/EntitiesincorporatedinIndia/
UnincorporatedentitiesformedinIndia]
Undersection139AoftheIncomeTaxAct,1961
Toavoidmistake(s),pleasefollowtheaccompanyinginstructionsandexamplesbeforefillinguptheform
Assessingofficer(AOcode)
Areacode
Sign/leftTumbimpressionacross
thisphoto
AOtype
Rangecode
AONo.
Sir,
I/Weherebyrequestthatapermanentaccountnumberbeallottedtome/us.
I/Wegivebelownecessaryparticulars:
1 FullName(Fullexpandednametobementionedasappearinginproofofidentity/addressdocuments:initialsarenotpermitted)
D asapplicable
Pleaseselecttitle,
Shri
Smt.
Kumari
M/s
LastName/Surname
FirstName
MiddleName
2 Abbreviationoftheabovename,asyouwouldlikeit,tobeprintedonthePANcard
3 Haveyoueverbeenknownbyanyothername?
Yes
No
Smt.
Kumari
Male
Female
(Pleasetickasapplicable)
Ifyes,pleasegivethatothername
D asapplicable
Pleaseselecttitle,
Shri
M/s
LastName/Surname
FirstName
MiddleName
4 Gender(forIndividualapplicantsonly)
(Pleasetickasapplicable)
5 DateofBirth/Incorporation/Agreement/PartnershiporTrustDeed/FormationofBodyofindividualsorAssociationofPersons
Day
Month
Year
6 Father'sName(Only'Individual'applicants:Evenmarriedwomenshouldfillinfather'snameonly)
LastName/Surname
FirstName
MiddleName
7 Address
ResidenceAddress
Flat/Room/Door/BlockNo.
NameofPremises/Building/Village
Road/Street/Lane/PostOffice
Area/Locality/Taluka/SubDivision
Town/City/District
State/UnionTerritory
OfficeAddress
Nameofoffice
Flat/Room/Door/BlockNo.
NameofPremises/Building/Village
Road/Street/Lane/PostOffice
Area/Locality/Taluka/SubDivision
Town/City/District
Pincode/Zipcode
CountryName
State/UnionTerritory
Pincode/Zipcode
8 AddressforCommunication
CountryName
Residence
Office
(Pleasetickasapplicable)
9 TelephoneNumber&EmailIDdetails
Countrycode
Area/STDCode
Telephone/Mobilenumber
EmailID
10 Statusofapplicant
Pleaseselectstatus,
D asapplicable
Government
Individual
Hinduundividedfamily
Company
PartnershipFirm
AssociationofPersons
Trusts
BodyofIndividuals
LocalAuthority
ArtificialJuridicalPersons
LimitedLiabilityPartnership
11 RegistrationNumber(forcompany,firms,LLPs,etc.)
12 IncaseofacitizenofIndia,then
PleasementionyourAADHAARnumber(ifallotted)
13 SourceofIncome
Pleaseselectstatus,
Salary
D asapplicable
CapitalGains
IncomefromBusiness/Profession
Business/Professioncode
[ForCode:Referinstructions]
IncomefromHouseproperty
IncomefromOthersources
Noincome
14 RepresentativeAssessee(RA)
Fullname,addressoftheRepresentativeAssessee,whoisassessableundertheIncomeTaxActinrespectoftheperson,whoseparticularshavebeengiveninthe
column113.
FullName(Fullexpandedname:initialsarenotpermitted)
Pleaseselecttitle,
D asapplicable
Shri
Smt.
Kumari
M/s
LastName/Surname
FirstName
MiddleName
Address
Flat/Room/Door/BlockNo.
NameofPremises/Building/Village
Road/Street/Lane/PostOffice
Area/Locality/Taluka/SubDivision
Town/City/District
State/UnionTerritory
Pincode
15 DocumentssubmittedasProofofIdentity(POI)andProofofAddress(POA)
I/Wehaveenclosed
asproofofidentityand
asproofofaddress.
[Pleaserefertotheinstructions(asspecifiedinRule114ofI.T.Rules,1962)forlistofmandatorycertifieddocumentstobesubmittedasapplicable]
16 I/We
doherebydeclarethatwhatisstatedaboveis
,theapplicant,inthecapacityof
truetothebestofmy/ourinformationandbelief.
Place
D
Date
D M M
Signature/LeftThumbImpressionof
Signature
/ Left Thumb Impression of
Applicant(insidethebox)