Form For Correction in PAN Card (Online Entry)
👉 आप पैन कार्ड में क्या सुधार करवाना चाहते हैं? (टिक करें)
Personal Details
*आवेदक अवयस्क (Minor) है (18 वर्ष से कम)
Parent's Name Details
Address for Communication
Aadhaar Verification
Declaration by Applicant / Representative
×
Only 'Individuals' to affix
recent photograph
(3.5 cm × 2.5 cm)
recent photograph
(3.5 cm × 2.5 cm)
Signature / Left thumb
impression across this photo
impression across this photo
Request For New PAN Card Or/ And Changes Or Correction in PAN Data
Permanent Account Number (PAN)
Please read Instructions 'h' & 'i' for selecting boxes on left margin of this form.
Only 'Individuals' to affix
recent photograph
(3.5 cm × 2.5 cm)
recent photograph
(3.5 cm × 2.5 cm)
Signature / Left thumb impression
1. Full Name (Full expanded name to be mentioned as appearing in proof of identity/address
documents: initials are not permitted)
documents: initials are not permitted)
Please select title,
✓
as applicable
Shri
Smt
Kumari
M/s
Last Name / Surname
First Name
Middle Name
Name you would like it printed on the PAN card
2. Details of Parents (applicable only for Individual applicants)
Father's Name (Mandatory. Even married women should fill in father's name only)
Last Name / Surname
First Name
Middle Name
Mother's Name (optional)
Last Name / Surname
First Name
Middle Name
Select the name of either father or mother which you may like to be printed on PAN card (Select one only)
(In case no option is provided then PAN card will be issued with father's name)
Father's Name
Mother's Name
(Please tick as applicable)
3. Date of Birth/Incorporation/Agreement/Partnership/Trust Deed/ Formation of Body of individuals...
Day
Month
Year
4. Gender (for 'Individual' applicant only)
Male
Female
Transgender
(Please tick as applicable)
5. Photo Mismatch
6. Signature Mismatch
7. Address for Communication
Residence
Office
(Please tick as applicable)
Name of Office (to be filled only in case of office address)
Flat/Room/ Door / Block No.
Name of Premises/ Building/Village
Road/Street/ Lane/Post Office
Area / Locality / Taluka / Sub- Division
Town / City / District
State / Union Territory
RAJASTHAN
Pincode / Zip code
Country Name
INDIA
8. If you desire to update your other address also, give required details In additional sheet.
9. Telephone Number & Email ID details
Country code
+
9
1
Area/STD Code
Telephone / Mobile number
Email ID
10. AADHAAR number (if allotted)
Name as per AADHAAR letter/card
11. Mention other Permanent Account Numbers (PANs) inadvertently allotted to you
PAN 1
PAN 2
PAN 3
PAN 4
12. Verification
I/We
, the applicant, in the capacity of
do hereby
declare that what is stated above is true to the best of my/our information and belief.
I/We have enclosed (number of documents) in support of proposed changes / corrections.
declare that what is stated above is true to the best of my/our information and belief.
I/We have enclosed (number of documents) in support of proposed changes / corrections.
Place
DDMMYYYY
Date
Signature / Left Thumb Impression of
Applicant (inside the box)
Applicant (inside the box)
Note: As per provisions of Section 272B of the Income Tax Act., 1961, a penalty of ₹ 10,000 can be levied on possession of more than one PAN.