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Permanant Account Number

 

Form No. 49A                                                    Form No. ITS 49A

Application for Allotment of Permanent Account Number Under Section 139A of the Income Tax Act, 1961

                                                          

Only ‘Individuals’ to affix recent photograph (3.5 cm × 2.5 cm)

Signature/Left Thumb Impression

(To avoid mistake(s), please follow the accompanying instructions and examples carefully before filling up the form)

To
The Assessing Officer
                                               AREA           AO        RANGE        AO
                                                                 CODE          TYPE    CODE         NO.                 

Ward / Circle
Range
Commissioner

 

Sir,
I/We hereby request that a permanent account number be allotted to me/us.
I/We give below necessary particulars :

1. Full Name (Full expanded name : initials are not permitted)

Please Tick  as applicable      Shri            Smt.     Kumari         M/s

Last Name / Surname                                            First Name

Middle Name

 
2. Name you would like printed on the card

3. Have you ever been known by any other name ? Please Tick  as applicable
    Yes   No
If yes, please give that other name
(Full expanded name : initials are not permitted) Shri  Smt.   Kumari  M/s

Last Name / Surname                                            First Name

Middle Name

 
4. Father’s Name (Only ‘Individual’ applicants : Even married women should give father’s name only)

Last Name / Surname                                            First Name

Middle Name

 

5. Address
R. Residential 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

O. Office Address (Name of Office) (Indicating PIN is mandatory)

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)

6. Address for communication Please Tick  as applicable R  or O

                  STD Code          Tel. No.

7. Tel. No.                email ID

 

 

8. Sex (For ‘Individual’ Applicants only) Please Tick   as applicable Male  
     Female

9. Status of the Applicant Please Tick   as applicable

 

Individual	P		Firm	F		Body of Individuals	B
Hindu Undivided Family	H		Association of Persons	A		Local Authority	L
Company	C		Association of Persons (Trusts)	T		Artificial Juridical Person	J

 

10. Date of Birth / Incorporation / Agreement / Partnership or Trust Deed /

Formation of Body                                   
of Individuals / Association of Persons D D M M  Y Y Y Y

11. Registration Number (In case of Firms, Companies etc.)

12. Whether citizen of India Please Tick  as applicable Yes  No

13. (a) Are you a salaried employee? If yes, indicate Government  Others
Name of the Organisation where working

 

 

(b) If you are engaged in a business / profession, indicate nature of business or profession and fill the relevant code

(c) If you are not covered by (a) or (b) above, indicate sources of income, if any

14. Full name, address of the Representative Assessee, who is assessable under the Income Tax Act in respect of the person, whose particulars
have been given in column 1 to 13.

Full Name (Full expanded name : initials are not permitted) Please tick  as applicable Shri  Smt.  Kumari  M/s

Last Name / Surname                                            First Name

Middle Name

 
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)

15. I/We have enclosed _______________________ as proof of identity and                        _______________________ as proof of address.

 

/We _______________________, the applicant, do hereby declare that
what is stated above is true to the best of my / our information and belief.

Verified today, the     
                               D D  M M Y Y Y Y

Signature / Left Thumb Impression of

Applicant (inside the box)