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Late Sahebrao Deshmukh
Founder
Bipin Kudtarkar
Chairman
Apply For PAN Card
Full Name*
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C. P. Tank
Saki Naka
Jogeshwari
Malad
Kalamboli
Santacruz
Vashi
Ghatkopar
Pumphouse
Lower Parel
Mira Road (E)
Bandra (E)
Satara- Sadar Bazar
Satara - Rajwada
Service Branch
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*Phone No. (Include Area Code if Landline)
* Indicates required fields
INSTRUCTIONS FOR FILLING REQUEST FOR NEW PANCARD OR/AND CHANGES OR CORRECTION IN PAN DATA
Form to be filled legibly in BLOCK LETTERS and Preferably in BLAC K INK. Form should be filled in English only.
Mention 10 digits PAN correctly.
Each box, wherever provided, should contain only one character (alphabet / number / punctuation sign) leaving a blank box after each word.
'Individual' applicants should affix two recent col o ur photographs with white backgrounds (size 3.5 cm x2.5 cm) in the space provided on the form. The photograp h s should not be stapled or clipped to the form. The clarity of image on PAN card will depend on the quality and clarity of photograph affixed on the form.
Signature / Left hand thumb impression should be pr ovided across the photo affixed on the left side of the form in such a manner that portion of signature/impression is on photo as well as on form
Signature /Left hand thumb impression should be w ithin the box provided on the right side of the form. The signature should not be on the photograph affixed on right side of the from. lf there is any mark on this photograph such that it hinders the clear visibility of the face of the applicant, the application will not be accepted.
Thumb impression, if used, should be attested by a M agistrate or a Notary Public or a Gazetted Officer under official seal and stamp.
For issue of new PAN card without any changes- In case you have a PAN but no PAN card and wish to g et PAN card, fill all column of the form but do not tick any of the boxes on the left margin. In case of loss of PAN card , a copy of FIR may be submitted along wi th the form.
For changes or correction in PAN data, fill all c o l umn of the form and tick box on the left margin of appropriate row where change/correction is required.
Having or using more than one PAN is illegal. Ify ou possess more than one PAN, kindly fill the d e tails in item No 11 of this form and surrender the same.
Download PAN Application Forms
Request For New PAN Card Or/And Changes Or Correction in PAN Data
PAN Application for NRI
PAN Application for Indian Individuals, Indian Companies and Indian Entities
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