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

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    kalyangaine
    This document is a request form for changes or corrections to PAN card details. It requests information such as name, father's name, date of birth, address, phone number, email, other PAN numbers held. The applicant declares that the information provided is true and correct. Supporting identity and address documents are enclosed for verification along with payment details such as demand draft number or credit card information.

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

    Uploaded by

    kalyangaine
    14 views2 pages
    This document is a request form for changes or corrections to PAN card details. It requests information such as name, father's name, date of birth, address, phone number, email, other PAN numbers held. The applicant declares that the information provided is true and correct. Supporting identity and address documents are enclosed for verification along with payment details such as demand draft number or credit card information.

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    Original Title

    Requeggggst for New PAN Card Or

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    This document is a request form for changes or corrections to PAN card details. It requests information such as name, father's name, date of birth, address, phone number, email, other PAN numbers held. The applicant declares that the information provided is true and correct. Supporting identity and address documents are enclosed for verification along with payment details such as demand draft number or credit card information.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    14 views2 pages

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

    Uploaded by

    kalyangaine
    This document is a request form for changes or corrections to PAN card details. It requests information such as name, father's name, date of birth, address, phone number, email, other PAN numbers held. The applicant declares that the information provided is true and correct. Supporting identity and address documents are enclosed for verification along with payment details such as demand draft number or credit card information.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

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

    Fields marked with * (asterisk) are mandatory. . To avoid mistake(s), please refer guidelines
    and instructions .
    * Whether citizen of India

    Yes

    No

    * Permanent Account Number (PAN)


    * 1. Name
    Title Shri
    Smt.
    Last Name/Surname

    Kumari
    M/s
    First Name

    Middle Name

    * Name as you would like it printed on the card


    * 2. Father's Name (Even married women should give father's name only)
    Last Name/Surname
    First Name
    Middle Name
    * 3. Date of
    Birth/Incorporation/Agreement/Partnership
    or Trust Deed/Formation of Body of Individuals/
    Association of Persons
    * 4. Sex

    DDMMYYYY

    Male

    Female

    5. Photo Mismatch
    6. Signature Mismatch
    * 7. Address for Communication

    Residential

    Office

    Office Name (to be filled only in case of office


    address)
    Flat/Door/Block No.
    Name of Premises/Building/Village
    Road/Street/Lane/Post Office
    Area/Locality/Taluka/Sub-Division
    Town/City/District
    State/Union Territory
    PIN (Indicating PIN is mandatory)
    Country
    Zip
    8. If you desire to update your other address also, give required details.
    Office Name (to be filled only in case of office
    address)
    Flat/Door/Block No.
    Name of Premises/Building/Village
    Road/Street/Lane/Post Office

    Area/Locality/Taluka/Sub-Division
    Town/City/District
    State/Union Territory
    PIN (Indicating PIN is mandatory)
    Country
    Zip
    STD/ISD
    Code

    * 9. Telephone No.

    Tel. No.

    e-mail ID
    10. Mention other Permanent Account Numbers (PANs) inadvertently allotted to
    you
    PAN1
    PAN3
    I

    PAN2
    PAN4
    , the applicant, do hereby declare that what is stated above is true to the best of

    my information and belief. I have enclosed


    proposed changes/corrections.

    (number of documents) in support of

    DD MM YYYY

    Verified today, the 11 -11 -2011


    I/We have enclosed
    as proof of identity and as proof of address and as proof of PAN
    allotted.
    Other Details
    1. Depository Account Details
    DP ID:
    Client ID:
    2. Payment Details
    Demand Draft/Cheque (in favour of 'NSDL - PAN' for
    Demand Draft number

    94.00)

    Dated DD MM YYYY

    Drawn On
    OR

    94.00

    payable at Mumbai.

    Cheque number

    Dated DD MM YYYY

    Drawn On

    Amount

    94.00

    Bank, deposited at HDFC Bank,


    Branch at
    location (city/town).

    Credit Card / Debit Card (


    Net Banking ( 94.00 )

    Amount

    94.00 )

    List of Banks available

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