APPLICATION FORM FOR OBTAINING TIN-FACILIATION CENTER

General Details: BP Code:

(for existing BP)

Name of applicant
Trade name of the Firm / Company
Type of organization (sole
proprietor/partnership/ corporate/any
other) [Kindly provide name/s of
proprietor /partners/directors] Please
specify for any other
Total no of partners
Name(s) of Proprietor / Partners /
Directors
Date of incorporation / establishment
PAN of the Firm / Company

Office space in Sq. ft

Office address with proof (place from

where applicant will be operating
City
State
Pin code (Compulsory)
Nearest Landmark

Telephone No with STD code

Mobile No

Fax. No

Email address

Total no of Paid Staff

Other Activities of The Firm :

Stock Broking

Commodity Broking

Depository Participant

MF Distribution

Any other, please specify

In case applicant is member of any

professional body like ICAI, ICSI etc.
provide details of membership
If applicant is practicing professional
provide details of practice in number
of years
 Personal Details of the Partners/Proprietor/Directors :
(For each partner, use separate sheet if required)

Name

Fathers Name

Date of Birth

Residence Address

City
State
Pin code (Compulsory)
PAN No
Mobile no
Email id
Education qualification of proprietor /
partners / directors
Whether any case / claim / arbitration
pending against the applicant /
proprietor / partner / director in any
court etc. (provide details)

Hardware/Software Details:

No of PCs used in the office

No of Printer used in the office

Printer Model :
No of scanners used in the office
Operating system installed on the
PCs
Are O/s installed licensed?

Antivirus Installed on the PCs

Is anti virus installed licensed?

Compression Utility Installed on the
PCs (WinZip / Winrar / Zipitfast)
Is compression utility installed
licensed?
Internet connection & Bandwidth

Power supply Backup (UPS)

Details of Income Tax Departments Offices having jurisdiction on TIN FC location

Particulars Additional / Joint Commissioner of Commissioner of Income tax

Income tax having Jurisdiction over having Jurisdiction over the
the location location
Name
Complete address
with PINCODE
Telephone Nos. with
STD Code