Form 49 A (Minor)

Application For Allotment of Permanent Account Number

Fill Your Personal Details

Gender of Applicant

Male Female Transgender

Name of Applicant

Maximum 25 characters allowed.

Name as you would like to get printed on PAN Card

Have you ever been known by any other name?

Yes No

Mention here

Maximum 25 characters allowed.

Date of Birth of Applicant

Proof of Date of Birth

Father's Name of Applicant

Maximum 25 characters allowed.

Mother's Name of Applicant

Maximum 25 characters allowed.

Either Father or Mother name can be printed on Pan Card please choose option ?

Father's Name Mother's Name

Residential Address of Applicant

Flat No.

Maximum 25 characters allowed.

Name of Premises/Building

Maximum 25 characters allowed.

Road/Street

Maximum 25 characters allowed.

Area/Locality

Maximum 25 characters allowed.

Town/City

Maximum 25 characters allowed.

State

Maximum 25 characters allowed.

Zip Code

Country

Contact Details

Only Numbers allowed

Enter Email Enter Valid Email

All the Details below should be of Parent / Guardian / Representative Assessee (RA)

Proof of Identity

Proof of Address

Title

Shri/Mr Smt/Mrs Kumari/Miss

Maximum 25 characters allowed.

Address of Parent / Guardian / Representative Assessee (RA)

Flat No.

Maximum 25 characters allowed.

Name of Premises/Building

Maximum 25 characters allowed.

Road/Street

Maximum 25 characters allowed.

Area/Locality

Maximum 25 characters allowed.

Town/City

Maximum 25 characters allowed.

State

Maximum 25 characters allowed.

Zip Code

Country

I hereby agree that above information provided by me is true and correct to the best of my knowledge.