Form No.

49A
Application for Allotment of Permanent Account Number
[In the case of Indian Citizens/lndian Companies/Entities incorporated in India/ Only
Only
‘Individuals’ Unincorporated entities formed in India] ‘Individuals’
to ax recent See Rule 114 to ax recent
photograph photograph
To avoid mistake (s), please ollow the accompanying instructions and examples beore lling up the orm (3.5 cm x
(3.5 cm x
2.5 cm) 2.5 cm)
Assessing ofcer (AO code)

Area code AO type Range code AO No.

Sign / Left Thumb impression
across this photo

Sir,
I/We hereby request that a permanent account number be allotted to me/us.
I/We give below necessary particulars: Signature / Let Thumb Impression

1 Full Name (Full expanded name to be mentioned as appearing in proo o identity/date o birth/address documents: initials are not permitted)

Please select title,  as applicable Shri Smt. Kumari M/s

Last Name / Surname

First Name
Middle Name
2 Abbreviations o the above name, as you would like it, to be printed on the PAN card

3 Have you ever been known by any other name? Yes No (please tick as applicable)
I yes, please give that other name
Please select title,  as applicable Shri Smt. Kumari M/s

Last Name / Surname

First Name
Middle Name

4 Gender (or Individual applicants only) Male Female Transgender (please tick as applicable)

5 Date o Birth/Incorporation/Agreement/Partnership or Trust Deed/ Formation o Body o individuals or Association o Persons

Day Month Year

6 Details o Parents (applicable only or individual applicants)

Whether mother is a single parent and you wish to apply or PAN by urnishing the name o your mother only?
Yes No (please tick as applicable)
I yes, please ll in mother’s name in the appropriate space provide below.
Father’s Name (Mandatory except where mother is a single parent and PAN is applied by urnishing the name o mother only)
Last Name / Surname
First Name
Middle Name
Mother’s Name (optional except where mother is a single parent and PAN is applied by urnishing the name o mother only)
Last Name / Surname
First Name
Middle Name
Select the name o either ather or mother which you may like to be printed on PAN card (Select one only)
Father’s name Mother’s name (Please tick as applicable)
(In case no option is provided then PAN card will be issued with ather’s name except where mother is a single parent and you wish to apply or PAN
by urnishing name o the mother only)’.
7 Address
Residence Address
Flat / Room / Door / Block No.
Name o Premises / Building / Village
Road / Street / Lane/Post Oce
Area / Locality / Taluka/ Sub- Division
Town / City / District
State / Union Territory Pincode / Zip code Country Name
 Ofce Address
Name o oce
Flat / Room / Door / Block No.
Name o Premises / Building / Village
Road / Street / Lane/Post Oce
Area / Locality / Taluka/ Sub- Division
Town / City / District
State / Union Territory Pincode / Zip code Country Name

8 Address for Communication Residence Ofce (Please tick as applicable)

9 Telephone Number & Email ID details
Country code Area/STD Code Telephone / Mobile number

Email ID
10 Status of applicant
Please select status,  as applicable Government
Individual Hindu undivided amily Company Partnership Firm Association o Persons
Trusts Body o Individuals Local Authority Articial Juridical Persons Limited Liability Partnership
11 Registration Number (or company, frms, LLPs etc.)

12 In case o a person, who is required to quote Aadhaar number or the Enrolment ID o Aadhaar application orm as per section 139 AA
Please mention your AADHAAR number (i allotted)
I AADHAAR number is not allotted, please mention the enrolment ID o Aadhaar application orm

Name as per AADHAAR letter or card or as per the Enrolment ID o Aadhaar application orm

13 Source of Income Please select,  as applicable

Salary Capital Gains

Income rom Business / Proession Business/Proession code [For Code: Reer instructions] Income rom Other sources
Income rom House property No income
14 Representative Assessee (RA)
Full name, address o the Representative Assessee, who is assessible under the Income Tax Act in respect o the person, whose particulars have
been given in the column 1-13.
Full Name (Full expanded name : initials are not permitted)
Please select title,  as applicable Shri Smt. Kumari M/s
Last Name / Surname
First Name
Middle Name
Address
Flat / Room / Door / Block No.
Name o Premises / Building / Village
Road / Street / Lane/Post Oce
Area / Locality / Taluka/ Sub- Division
Town / City / District
State / Union Territory Pincode

15 Documents submitted as Proo o Identity (POI), Proo o Address (POA) and Proo o Date o Birth (POB)
I/We have enclosed as proo o identity,
as proo o address and as proo o date o birth.
[Please reer to the instructions (as specied in Rule 114 o I.T. Rules, 1962) or list o mandatory certied documents to be submitted as applicable]
[Annexure A, Annexure B & Annexure C are to be used wherever applicable]
16 I/We , the applicant, in the capacity o
do hereby declare that what is stated above is true to the best o my/our inormation and belie.

Place :
D D M M Y Y Y Y Signature / Let Thumb Impression o
Date : Applicant (inside the box)

Note: As per provisions o Section 272B o the Income Tax Act., 1961, a penalty o ` 10,000 can be levied on possession o more than one PAN.
 INSTRUCTIONS FOR FILLING FORM 49A
(a) Form to be illed legibly in BLOCK LETTERS and preerably in BLACK INK. Form should be illed in English only
(b) Each box, wherever provided, should contain only one character (alphabet /number / punctuation sign) leaving a blank box
ater each word.
(c) ‘Individual’ applicants should aix two recent colour photographs with white background (size 3.5 cm x 2.5 cm) in the
space provided on the orm. The photographs should not be stapled or clipped to the orm. The clarity o image on PAN card will
depend on the quality and clarity o photograph aixed on the orm.
(d) Signature / Let hand thumb impression should be provided across the photo aixed on the let side o the orm in such a
manner that portion o signature/impression is on photo as well as on orm.
(e) Signature /Let hand thumb impression should be within the box provided on the right side o the orm. The signature should
not be on the photograph aixed on right side o the orm. I there is any mark on this photograph such that it hinders the clear
visibility o the ace o the applicant, the application will not be accepted.
(f) Thumb impression, i used, should be attested by a Magistrate or a Notary Public or a Gazetted Oicer under oicial seal
and stamp.
(g) AO code (Area Code, AO Type, Range Code and AO Number) o the Jurisdictional Assessing Oicer must be illed up
by the applicant. These details can be obtained rom the Income Tax Oice or PAN Centre or websites o PAN Service
Providers on www.utiitsl.com or www.protean-tinpan.com
(h) Guidelines or illing the Form 49A:

Item
Item Details Guidelines or flling the orm
No.
1 Full Name Please select appropriate title.
Do not use abbreviations in the First and the Last name/Surname. For example RAVIKANT should be
written as :
Last
R A V I K A N T
Name/Surname

First Name

Middle Name

For example SURESH SARDA should be written as :

Last
S A R D A
Name/Surname

First Name S U R E S H

Middle Name

For example POONAM RAVI NARAYAN should be written as:

Last
N A R A Y A N
Name/Surname

First Name P O O N A M

Middle Name R A V I

For example SATYAM VENKAT M. K. RAO should be written as :

Last
R A O
Name/Surname

First Name S A T Y A M

Middle Name V E N K A T M K
 For example M. S. KANDASWAMY (MADURAI SOMASUNDRAM KANDASWAMY) should be written
as :
Last
K A N D A S W A M Y
Name/Surname

First Name M A D U R A I

Middle Name S O M A S U N D R A M

Applicants other than ‘Individuals’ may ignore above instructions.

Non-Individuals should write their ull name starting rom the rst block o Last Name/Surname. I the
name is longer than the space provided or the last name, it can be continued in the space provided or
First and Middle Name.
For example XYZ DATA CORPORATION (INDIA) PRIVATE LIMITED should be written as :
Last
X Y Z D A T A C O R P O R A T I O N ( I N D
Name/Surname

First Name I A ) P R I V A T E L I M I T E D

Middle Name

For example MANOJ MAFATLAL DAVE (HUF) should be written as :

Last
M A N O J M A F A T L A L D A V E ( H U F )
Name/Surname

First Name

Middle Name

In case o Company, the name should be provided without any abbreviations. For example, dierent
variations o 'Private Limited' viz. Pvt Ltd, Private Ltd, Pvt Limited, P Ltd, P. Ltd., P. Ltd are not allowed.
It should be 'Private Limited' only.
In case o sole proprietorship concern, the proprietor should apply or PAN in his/her own name.
Name should not be prexed with any title such as Shri, Smt, Kumari, Dr., Major, M/s etc.
2 Abbreviation o Individual applicants should provide ull/abbreviated name to be printed on the PAN card. Name, i
the ull name to be abbreviated, should necessarily contain the last name. For example:
printed on the PAN
card SATYAM VENKAT M. K. RAO which is written in the Name eld as :
Last
R A O
Name/Surname

First Name S A T Y A M

Middle Name V E N K A T M K

Can be written as in ‘Name to be printed on the PAN Card’ column as

SATYAM VENKAT M. K. RAO or
S. V. M. K. RAO or
SATYAM V. M. K. RAO
For non individual applicants, this should be same as last name eld in item no. 1 above.

3 Have you ever been I applicant selects ‘Yes’, then it is mandatory to provide details o the other name. Instructions in Item
known by any other No. 1 with respect to name apply here. Title should be similar to the title mentioned in item No. 1.
name?
4 Gender This eld is mandatory or Individuals. Field should be let blank in case o other applicants.
5 Date o Date cannot be a uture date. Date: 2nd August 1975 should be written as:
Birth/Incorporation /
Agreement / D D M M Y Y Y Y
Partnership or
Trust 0 2 0 8 1 9 7 5
Deed / Formation o
Body o Individuals /
Relevant date or dierent categories o applicants is:
Association o Individual: Actual Date o Birth; Company: Date o Incorporation; Association o Persons: Date o ormation/
Persons creation; Trusts: Date o creation o Trust Deed; Partnership Firms: Date o Partnership Deed; LLPs: Date
o Incorporation/Registration; HUFs: Date o creation o HUF and or ancestral HUF date can be 01-01-
0001 where the date o creation is not available.
6 Details o Parents Instructions in Item No.1 with respect to name apply here.
(Applicable to Whether mother is a single parent and you wish to apply or PAN by urnishing mother’s name
Individuals only) only?
It is mandatory or Individual applicants to select the fag (i.e. ‘Yes’ or ‘No’).
This fag should be selected as ‘Yes’ only i (i) Mother is a single parent, and (ii) You wish to apply or PAN
using mother’s name only. Father’s name should be let blank.
I the fag is selected as ‘No’, then ather’s name is mandatory. For such cases, mother’s name is optional.
Father’s Name: It is mandatory or Individual applicants (except or cases where mother is a single parent)
to provide ather’s name. Married woman applicant should also give ather’s name and not husband’s
name.
Mother’s Name: This is an optional eld. Mother’s name is mandatory i the fag value (i.e. Whether mother
is a single parent and you wish to apply or PAN by urnishing mother’s name only?) is selected as ‘Yes’.
Name to be printed on the PAN card: Appropriate fag should be selected to indicate the name (out o
the ather’s name and mother’s name given in the orm) to be printed on the PAN card. I the ‘Mother as a
Single Parent’ eld is selected as ‘Yes’, then mother’s name fag should only be selected or the name to
be printed on the PAN Card.
I none o the option is selected, then ather’s name shall be considered or printing on the PAN card. In
case o mother as a single parent, mother’s name shall be considered or printing on the PAN Card.

7 Address - R - Residence Address:

Residence and For Individuals, HUF, AOP, BOI or AJP, residential address is mandatory. Other applicants should leave
oce this eld blank.
O - Ofce Address:
(1) Name o Oce and address to be mentioned in case o individuals having source o income as salary
or Business/proession[Item No.13].
(2) In case o Firm, LLP, Company, Local Authority and Trust, name o oce and complete address o
oce is mandatory.
For all categories o applicants, it is necessary to mention complete address and the details o Town/
City/District, State/Union Territory and PINCODE are mandatory.
In case, a oreign address is provided then it is mandatory to provide Country Name along with ZIP
Code o the country.
8 Address or Individuals/HUFs/AOP/BOI/AJP may indicate either 'Residence' or 'Oce' and other applicants should
communication necessarily indicate 'Oce' as the Address or Communication. All communication will be sent at the
address indicated in this eld.
9 Telephone Number (1) Telephone number should include country code (ISD code) and STD code or Mobile No. should
and Email ID include Country code (ISD Code).
For example :
(i) Telephone number 23555705 o Delhi should be written as
Country STD Telephone Number / Mobile
code Code number

9 1 1 1 2 3 5 5 5 7 0 5

Where '91' is the country code o India and 11 is the STD Code o Delhi.

(ii) Mobile number 9102511111 o India should be written as

Country STD Telephone Number / Mobile
code Code number

9 1 9 1 0 2 5 1 1 1 1 1

Where ‘91’ is the country code o India.

(2) It is mandatory or the applicants to mention either their ‘‘Telephone number’’ or valid
‘‘e-mail id’’ so that they can be contacted in case o any discrepancy in the application
and/or or receiving PAN through e-mail.
(3) Application status updates are sent using the SMS acility on the mobile numbers mentioned in the
application orm.
10 Status of This eld is mandatory or all categories o applicants. In case o ‘Limited Liability Partnership’, the PAN
Applicant will be allotted in 'Firm' status.

11 Registration Not applicable to Individuals and HUFs. Mandatory or ‘Company’. Company should mention registration
number number issued by the Registrar o Companies. Other applicants may mention registration number
issued by any State or Central Government Authority.
12 In case o a person, Aadhaar Number
who is required to As per provisions o section 139AA o Income Tax Act, 1961, Aadhaar number has to be provided. Copy
quote Aadhaar number o Aadhaar letter/card shall be provided as proo o Aadhaar.
or the Enrolment ID o
Aadhaar application Enrolment ID (EID) o application or Aadhaar
orm as per section Only i Aadhaar is not allotted to the applicant, then EID (which includes date & time o enrolment) or
139AA. Aadhaar shall be provided. Copy o EID receipt shall be provided as proo o enrolment.
As specied by Ministry o Finance, Government o India notication No. 37/2017, F. No. 370133/6/2017-TPL
dated May 11, 2017, it would be optional to mention Aadhaar as well as EID or the individuals
(i) residing in the States o Assam, Jammu and Kashmir and Meghalaya; (ii) a non-resident as per the
Income-tax Act, 1961; (iii) o the age o eighty years or more at any time during the previous year;

Name as per Aadhaar letter/card or Enrolment ID for Aadhaar application form

• I the Aadhaar is provided by the applicant, then name as per AADHAAR letter/card has to be
provided;
• I EID is provided by the applicant, then name as appearing on EID receipt has to be provided in
this eld.

Supporting documents o Proo o Identity, Address and Date o Birth (other than Aadhaar) as specied in Rule
114(4) o Income Tax Rules, 1962 will be applicable or cases where there is mismatch in PAN application
and Aadhaar data or EID is provided by the PAN applicant or the applicant is covered by Ministry o Finance,
Government o India notication No. 37/2017, F. No. 370133/6/2017-TPL dated May 11, 2017.
13 Source o Income It is mandatory to indicate at least one o the sources o incomes, as mentioned in the orm. In case, the
income rom Business/proession is selected by the applicant then an appropriate business/ proession
code should be mentioned.

Please reer the table given below to select the business/proession code:

Code Business/ Profession Code Business/ Profession

01 Medical Proession and Business 11 Films, TV and such other entertainment
02 Engineering 12 Inormation Technology
03 Architecture 13 Builders and Developers
Members o Stock Exchange, Share Brokers
04 Chartered Accountant/ Accountancy 14
and Sub-Brokers
05 Interior Decoration 15 Perorming Arts and Yatra
Operation o Ships, Hovercrat, Aircrats or
06 Technical Consultancy 16
Helicopters
Plying Taxis, Lorries, Trucks, Buses or other
07 Company Secretary 17
Commercial Vehicles
08 Legal Practitioner and Solicitors 18 Ownership o Horses or Jockeys
09 Government Contractors 19 Cinema Halls and Other Theatres
10 Insurance Agency 20 Others

14 Name and address Section 160 o Income Tax Act, 1961 provides that any 'specied person' (assessee) can be represented
o Representative through Representative Assessee. Thereore, this column should be lled in by representative assessee
Assessee only as specied in Section 160 o the Income-tax Act, 1961, such as, an agent o the non-resident,
guardian or manager o a minor, lunatic or idiot, Court o Wards, Administrator General, Ocial Trustee,
receiver, manager, trustee o a Trust including Wak.

This eld will contain particulars o the Representative Assessee. This eld is mandatory i applicant
is minor, deceased, idiot, lunatic or mentally retarded. Column 1 to 13 will contain details o person on
whose behal this application is submitted.

Proo o Identity and Proo o address are also required or representative assessee.

15 Proo o Identity, It is mandatory to attach proo o identity, proo o address and proo o date o birth with PAN application.
Proo o Address Documents should be in the name of applicant. List o documents which will serve as proo o
and Proo o Date identity, address and date o birth or each status o applicant is as given below:
o Birth
documents
 Document acceptable as proo o identity, address and date o birth as per Rule 114 o Income Tax Rules, 1962

Proo o Identity Proof of Address Proof of date of birth

Indian Citizens (including those located outside India)

Individuals & HUF

(i) Copy o (i) Copy o Copy o

a. Aadhaar Card issued by the Unique a. Aadhaar Card issued by the Unique a. Birth Certicate issued by the Municipal
Identication Authority o India; or Identication Authority o India; or Authority or any oce authorized to
b. Elector's photo identity card; or b. Elector's photo identity card; or issue Birth and Death Certicate by
c. Driving License; or c. Driving License; or the Registrar o Birth and Death or the
d. Passport; or d. Passport; or Indian Consulate as dened in clause
e. Ration card having photograph o the e. Passport o the spouse; or (d) o sub-section (1) o session 2 o
applicant; or . Post oce passbook having address the Citizenship Act, 1955 (57 o 1955);
. Arm's license; or o the applicant; or or
g. Photo identity card issued by the Central g. Latest property tax assessment order; b. Pension payment order; or
Government or State Government or or c. Marriage certicate issued by Registrar
Public Sector Undertaking (in case of h. Domicile certicate issued by the o Marriages; or
Transgender, Transgender Certificate Government; or d. Matriculation Certicate or Mark Sheet
issued by the District Magistrate); or i. Allotment letter o accommodation o recognized board or
issued by Central or State e. Passport; or
h. Pensioner card having photograph o
Government o not more than three . Driving License; or
the applicant; or
years old; or g. Domicile Certicate issued by the
i. Central Government Health Service
j. Property Registration Document; Government; or
Scheme Card or Ex-Servicemen
or h. Aadhaar Card issued by the Unique
Contributory Health Scheme photo
(ii) Copy o ollowing documents o not Identication Authority o India; or
card; or
more than three months old i. Elector’s photo identity card; or
(ii) Certicate o identity in Original signed
(a) Electricity Bill; or
by a Member o Parliament or Member j. Photo identity card issued by the Central
(b) Landline Telephone or Broadband
o Legislative Assembly or Municipal Government or State Government or
connection bill; or
Councilor or a Gazetted ocer, as the Public Sector Undertaking (in case of
(c) Water Bill; or
case may be; or Transgender, Transgender Certificate
(d) Consumer gas connection card or book
(iii) Bank certicate in Original on letter issued by the District Magistrate); or
or piped gas bill; or
head rom the branch(alongwith name k. Central Government Health Service
(e) Bank account statement or as per Note
and stamp o the issuing ocer) Scheme photo Card or Ex-Servicemen
2 ; or
containing duly attested photograph and Contributory Health Scheme photo
() Depository account statement; or
bank account number o the applicant card; or
(g) Credit card statement; or
(iii) Certicate o address in Original l. Adavit sworn beore a magistrate
signed by a Member o Parliament or stating the date o birth.
Member o Legislative Assembly or
Municipal Councilor or a Gazetted
ocer, as the case may be; or
(iv) Employer certicate in original.

Note: Note:
1. In case o Minor, any o the above 1. Proo o Address is required or
mentioned documents as proo o residence address mentioned in
identity and address o any o item no. 7.
parents/guardians o such minor 2. In case o an Indian citizen residing
shall be deemed to be the proo o outside India, copy o Bank
identity and address or the minor Account Statement in country o
applicant. residence or copy o Non-resident
2. For HUF, an adavit made by the External (NRE) bank account
Karta o Hindu Undivided Family statements (not more than three
stating name, ather’s name and months old) shall be the proo o
address o all the coparceners on the address.
date o application and copy o any o
the above documents in the name o
Karta o HUF is required as proo o
identity, address and date o birth.
Other than Individuals and HUF

1 Company Copy o Certicate o Registration issued by the Registrar o Companies.

2 Partnership Firm Copy o Certicate o Registration issued by the Registrar o Firms or Copy o partnership
deed.
3 Limited Liability Partnership Copy o Certicate o Registration issued by the Registrar o LLPs

4 Association o Persons (Trust) Copy o trust deed or copy o certicate o registration number issued by Charity
Commissioner.
5 Association o Persons, Body o Copy o Agreement or copy o certicate o registration number issued by charity
Individuals, Local Authority, or commissioner or registrar o cooperative society or any other competent authority or any
Articial Juridical Person other document originating rom any Central or State Government Department establishing
identity and address o such person.

16 Signature / Thumb impression Application must be signed by (i) the applicant; or (ii) Karta in case o HUF; or (iii) Director o
a Company; or (iv) Authorised Signatory in case o AOP, Body o Individuals, Local Authority
and Articial Juridical Person; or (v) Partner in case o Firm/LLP; or (vi) Trustee; or
(vii) Representative Assessee in case o Minor/deceased/idiot/lunatic/mentally retarded.
Applications not signed in the given manner and in the space provided are liable to be
rejected.

GENERAL INFORMATION FOR PAN APPLICANTS

(a) Applicants may obtain the application orm or PAN (Form 49A) rom any IT PAN Service Centres (managed by UTIITSL)
or TIN-Facilitation Centres (TIN-FCs) / PAN Centres (managed by Protean), or any other stationery vendor providing such orms or
download rom the Income Tax Department website (www.incometaxindia.gov.in) / UTIITSL website (www.utiitsl.com) /
Protean website (www.protean-tinpan.com).

(b) The ee or processing PAN application is as under:

 I physical PAN Card is required, ` 107/- (including goods & service tax) will have to be paid by the applicant. In case, the PAN
card is to be dispatched outside India then additional dispatch charge o ` 910/- will have to be paid by applicant.
 I physical PAN Card is not required ` 72/- (including goods & service tax) will have to be paid by the applicant. PAN applicants
will have to mention on the top o the application orm “Physical PAN Card not required”. In such cases, email ID will have
to be mandatorily provided to receive e-PAN Card.

(c) Those already allotted a ten digit alphanumeric PAN shall not apply again as having or using more than one PAN is illegal.
However, request or a new PAN card with the same PAN or/and Changes or Correction in PAN data can be made by illing up
‘Request or New PAN Card or/and Changes or Correction in PAN Data’ orm available rom any source mentioned in (a) above.
The cost o application and processing ee is same as in the case o Form 49A.

(d) Applicant will receive an acknowledgment containing a unique number on acceptance o this orm. This acknowledgment
number can be used or tracking the status o the application.

(e) For more inormation / Application status enquiry contact:

Mode Income-tax Department Protean

Website www.incometaxindia.gov.in www.protean-tinpan.com
Call Center 1800-180-1961 020-27218080
Email ID tininfo@proteantech.in
SMS
SMS PTNPAN <space>acknowledgment no.
& sent to 57575 to obtain application status.
For example -->Type ‘PTNPAN 881010101010100’ and sent to 57575

Address INCOME TAX PAN SERVICES UNIT (Managed by Protean eGov

Technologies Limited (formerly NSDL e-Governance Infrastructure
Limited), 4th floor, Sapphire Chambers, Baner Road, Baner, Pune
411045.