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Correction Form

The document is a request form for obtaining a new Permanent Account Number (PAN) card or making changes/corrections to existing PAN data. It requires personal information such as full name, parents' details, date of birth, gender, address, contact information, and AADHAAR number. Applicants must declare the accuracy of the information provided and enclose supporting documents for any proposed changes or corrections.

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99 views1 page

Correction Form

The document is a request form for obtaining a new Permanent Account Number (PAN) card or making changes/corrections to existing PAN data. It requires personal information such as full name, parents' details, date of birth, gender, address, contact information, and AADHAAR number. Applicants must declare the accuracy of the information provided and enclose supporting documents for any proposed changes or corrections.

Uploaded by

durgakesh.km
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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.

Signature / Left thumb


impression across this photo

1 Full Name (Full expanded name to be mentioned as appearing in proof of identity/address


documents: initials are not permitted)
Please select title, as applicable Shri Smt Kumari M/s
SIGNATURE IN SIDE THE BOX ONLY
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)

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 P AN 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 or Association of Persons


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 (Please tick as applicable)

Flat/Room/ Door / Block No.


Name of Premises/ Building/Village

Area / Locality / Taluka / Sub- Division


Town / City / District B E N G A L U R U
State / Union Territory Pincode / Zip code Country Name
Karnataka 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 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

I/We , the applicant, in the capacity of INDIVIDUAL 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.
Place BENGALURU
D D M M Y Y Y Y
Date SIGNATURE IN SIDE THE BOX

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