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FormNo.

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)

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