Data Loading...
410bf996-fae9-437a-9ce1-925654f08e11 Flipbook PDF
410bf996-fae9-437a-9ce1-925654f08e11
247 Views
164 Downloads
FLIP PDF 1.83MB
Form No. 49A Application for Allotment of Permanent Account Number [In the case of Indian Citizens/lndian Companies/Entities incorporated in India/ Unincorporated entities formed in India]
Only ‘Individuals’ to affix récent photograph (3.5 cm x 2.5 cm)
See Rule 114 To avoid mistake (s), please follow the accompanying instructions and examples before filling up the form
Assessing officer (AO code) Area code
AO type
Range code
Only ‘Individuals’ to affix recent photograph (3.5 cm x 2.5 cm)
AO No.
Signature (OR) 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: 1
Signature (OR) Left Thumb Impression
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
G H O S H Y A S H A S W I N I
Last Name / Surname First Name Middle Name 2
Abbreviations of the above name, as you would like it, to be printed on the PAN card
Y A S H A S W I N I 3
G H O S H
Have you ever been known by any other name?
Yes
✔ No
(please tick as applicable)
If yes, please give that other name
Please select title,
as applicable
Shri
Smt.
Kumari
M/s
Last Name / Surname First Name Middle Name Gender (for Individual applicants only)
5
Date of Birth/Incorporation/Agreement/Partnership or Trust Deed/ Formation of Body of individuals or association of Persons
6
Day
Month
Year
29
0 3
2 0 0 7
Male
✔ Female
4
(please tick as applicable)
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)
G H O S H S U D I P K U M A R
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) 7
Address Residence 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
JHARKHAND
✔ Father’s name K K D T J
- 1 4 / 5 T Y P O U B L E E L C O A M S H E D P
(Please tick as applicable)
Mother’s Name
E R O A D C O L O N Y U R
Pincode / Zip code
8 3 1 0 0 4
T E L C O
Country Name
INDIA
Office Address Name of office 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
Pincode / Zip code
Country Name
490084
✔
8
Address for Communication
9
Telephone Number & Email ID details Country code
Area/STD Code
Office
(Please tick as applicable)
Telephone / Mobile number
9 1 Email ID
Residence
9 4 7 0 9 3 5 5 9 1
[email protected]
10 Status of applicant Please select status,
✔ Individual Trusts
P
as applicable
Government
Hindu undivided family
Company
Partnership Firm
Association of Persons
Body of Individuals
Local Authority
Artificial Juridical Persons
Limited Liability Partnership
11 Registration Number (for company, firms, LLPs etc.)
12 In Case of a person, who is required to quote Aadhaar number/The Enrolment ID of Aadhaar application form as per section 139AA Please mention your AADHAAR number (if allotted)
4 9 3 2 7 6 0 3 2 1 6 5
If AADHAAR number is not allotted, please mention the enrolment ID of Aadhaar application form
Name as per AADHAAR letter/card or as per the Enrolment ID of Aadhaar application form
Y A S H A S W I N I
13
G H O S H
Source of Income
Please select,
Salary
as applicable
Capital Gains
Income from Business / Profession
Business/Profession code
[For Code: Refer instructions]
Income from Other sources No income
Income from House property 14 Representative Assessee (RA)
Full name, address of the Representative Assessee, who is assessible under the Income Tax Act in respect of 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
G H O S H S U D I P K U M A R
Last Name / Surname First Name Middle Name Address Flat / Room / Door / Block No. Name of Premises / Building / Village Road / Street / Lane/Post Office Area / Locality / Taluka/ Sub- Division Town / City / District
K K D P J
State / Union Territory
- 1 4 / T O U B L U R B I A M S H
5 Y P E E R O A D S I N G B H U M E D P U R
T E L C O
Pincode
8 3 1 0 0 4
J H A R K H A
15 Documents submitted as Proof of Identity (POI), Proof of Address (POA) and Proof of Date of Birth (DOB)
Aadhaar card as proof of address and Birth Certificate I/We have enclosed
as proof of identity,
Broad Band/Land Line Bill
as proof of date of birth.
[Please refer to the instructions (as specified in Rule 114 of I.T. Rules, 1962) for list of mandatory certified documents to be submitted as applicable] [Annexure A, Annexure B & Annexure C are to be used wherever applicable] 16 I/We
YASHASWINI
, the applicant, in the capacity of
HERSELF
do hereby declare that what is stated above is true to the best of my/our information and belief. Place :
JAMSHEDPUR
Date :
0 4 0 3 2 0 1 9
D
D M M
Y
Y Y
Y Signature (OR) Left Thumb Impression of Applicant (inside the box)
490084
Specimen copy for your Reference (Photograph and Sign)
Below Instructions Is For Your Guidance Read Them Carefully Application Page 01
Aadhaar Format
• Aadhaar Card Should Have the Applicant Name with Full Expansion i.e Without Initials. • Date of Birth In proper format such as Date/Month/Year i.e 20 Jan 1980
Applicant Name With Initials
If Aadhaar card name reflecting initials (Eg :Manoj K) -Enclose Additional proof such us Driving License, Passport, Voter id etc...
Application Page 02
Applicant Date of Birth If Aadhaar card Date of Birth reflecting as year format YOB (Eg: 1989) - Enclose Additional proof such us Passport, Driving license, Mark Certificate, Voter id, etc...
Do's
Dont's
Print Application in White A4 sheet only.
Do Not print in colour paper , One side paper.
Affix two (same) RECENT COLOUR photographs.
Do Not affix STAMP size, OLD, Black & White photographs.
Photos should be Straight Faced with Plain Background.
Photos should NOT be Side faced, Blur,Stapled or Pinned.
Applicant or Representative Assessee should sign in BLACK INK pen only.
Representative Assessee Should Sign on Behalf of MINOR.
Do Not use Colour, Glitter, Sketch pen etc. Do not sign Multiple Times in the given space for signature.
In case of Thumb impression it should be attested by Gazetted Officer with Seal and Signature.
ENCLOSE COMPLETE PROOF OF DOCUMENTS - First Page, Second Page, Front Page, Back Page etc.
Minor Should NOT Sign in Application Form.
Thumb impression in application without attestation will not be accepted. Do Not Enclose Partial proof of Document ( i.e enclosing first / front page of document) it will NOT BE ACCEPTED as proof.
Mandatory Documents: Send Signed Original Copy of Pan Application Form, Copy Of Aadhaar Card – If Aadhaar Number Allotted OR Copy of Enrollment Id Of Aadhaar Application Form ( If Aadhaar Number Is Not Allotted ) Check List - As Applicable Enclose Complete & Legible Proof of Documents -1st & 2nd page of proofs to be Enclosed with the Application.
✔
Identity Proof:
✔
Address Proof:
Office Address Proof
Aadhaar card
Broad Band/Land Line Bill ✔
✔ Date of Birth Proof:
Birth Certificate
✔
*Representative Id proof :
Aadhaar card
*Representative Address proof : Broad Band/Land Line Bill
For Minor Applicant - Mandatory Documents : Send Original Copy of Pan Application Signed By Representative Assessee ( i.e Father / Mother / Guardian ) Copy Of Minor DOB Proof Copy of Minor Aadhaar Card OR Minor Enrollment Id Of Aadhaar Application, RA Identity and Address Proof. -------------------------------------------------------------Tear and stick this address in your Application Envelope---------------------------------------------------------------
TO, VAN TECHNOLOGIES NEW NO - 65, OLD NO - 23, 1ST FLOOR, PLOT NO - B, BLOCK - 2, PONNANKINARU STREET, VILLIVAKKAM, CHENNAI - 600 049. NEAR TO KAVERI HOSPITAL.
FROM,