PAN REGISTRATION FORM

If yes, please give that other name

6.  Details of Parents (applicable only for individual applicants)

Father’s Name (Mandatory except where mother is a single parent and PAN is applied by furnishing the name of mother only)

Mother’s Name (optional except where mother is a single parent and PAN is applied by furnishing the name of mother only)

(In case no option is provided then PAN card will be issued with father’s name except where mother is a single parent and you wish to apply for PAN
by furnishing name of the mother only)’.

7. Address

Residence Address

Office Address

12. In case of a person, who is required to quote Aadhaar number or the Enrolment ID of Aadhaar application form as per section 139 AA

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)

Address

15.  Documents submitted as Proof of Identity (POI), Proof of Address (POA) and Proof of Date of Birth (POB)

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]

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