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Add Pan App Form

MD Afsar Alam applies for a Permanent Account Number (PAN) card. He provides personal details like name, date of birth, address, father's name, contact information. He attaches his Aadhaar card as proof of identity, address and date of birth. He declares all information provided in the application is true to the best of his knowledge.

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afsar alam
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105 views

Add Pan App Form

MD Afsar Alam applies for a Permanent Account Number (PAN) card. He provides personal details like name, date of birth, address, father's name, contact information. He attaches his Aadhaar card as proof of identity, address and date of birth. He declares all information provided in the application is true to the best of his knowledge.

Uploaded by

afsar alam
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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12/16/2019 https://www.myutiitsl.com/panonlineservices/addPanAppForm.

action#

Form 49A Application for Allotment of Permanent Account Number


[In the case of Indian Citizens/Indian Companies/Entities incorporated in India/
Unincorporated entities formed in India]
Under section 139A of the Income Tax Act, 1961

Date: 16/12/2019
VleID:- 412148938
Print

Application Number: A026072781


Coupon Number: A026072781

Both e-PAN and


PAN Card Mode:-
physical PAN Card
Assessing Officer(AO Code)
Area Code AO Type Range Code AO No
WBG W 213 1

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


Title:- SHRI Last Name:- ALAM Middle Name:- AFSAR First Name:- MD
2. Abbreviation of the above name, as you would like it, to be printed on the PAN card:- MD AFSAR ALAM
3. Have you been known by any other name? N
Last Name:- Middle Name:- First Name:-
4. Gender:- MALE
5.Date of Birth / Incorporation/Agreement/Partnership or Trust Deed/Formation of
06/08/1995
Body of Individuals/Association of Persons:-
6.Details of Parents (applicable only for individual
applicants),
Whether mother is a single parents and you wish to apply for PAN by furnishing the name of your mother only?

No
6. Father's Name : Last Name:- HAFIJUL Middle Name:- First Name:- HAFIJUL
The name of either father or mother which you may
FATHER'S NAME
like to be printed on PAN card :

7. Address:-
Residential Address:-
Flat/Door/Block No.:- MALINGAON
Name of Premises/Building/Village:- CHAKULIA
Road/Street/Lane/Post Office:- MALINGAON
Area/Locality/Taluka/Sub-Division:- GOHARRAH
Town/City/District:- State/Union Territory:- PIN Code:- 733208 Country:- INDIA

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12/16/2019 https://www.myutiitsl.com/panonlineservices/addPanAppForm.action#
NORTH DINAJPUR WEST BENGAL
Official Address:-
Office Name:-
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 Code:- Country:-
8. Address for Communication:- RESIDENCE

9. Telephone Number & Email ID Details :-


Country Area/STD Telephone/Mobile Email
91 6281764386 [email protected]
Code:- Code:- Number:- Address:-
10. Status of the Applicant:- Individual
11. Registration Number(for Company,firms,LLP's
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
426252970171
alloted)
If Aadhaar number is not alloted, please mention
the enrolment ID of Aadhaar application form
Name As per AADHAAR letter/card or as per the
MD AFSAR ALAM
Enrolment ID of Aadhaar application form

13.Source of Income

SALARIED Capital Gains

Income from Business/Profession Income from Other sources

Income from House property No income

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 colmns 1 to 13.
Last Name:- Middle Name:- First Name:-
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 Code:-

15. I/We have enclosed AADHAAR Card issued by UIDAI (In Copy) as Proof of Identity , AADHAAR Card issued by
UIDAI (In Copy) as Proof of Address and AADHAAR Card issued by UIDAI (In Copy) as Proof of DOB.
16. I/We MD AFSAR ALAM ,the applicant,in the capacity of HIMSELF/HERSELF do hereby declare that what is stated
above is true to the best of my/our information and belief.

NORTH DINAJPUR

Signature/Left thumb impression of


Place Date
the applicant

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