Form 49a - Application For Allotment Of Permanent Account Number Page 2

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Telephone Number & Email ID details

Country code

Area/STD Code

Telephone / Mobile number

Email ID

10 Status of applicant



Please select status,

as applicable

Government

Individual

Hindu undivided family

Company

Partnership Firm

Association of Persons

Trusts

Body of Individuals

Local Authority

Artificial Juridical Persons

Limited Liability Partnership

11 Registration Number (for company, firms, LLPs etc.)

12 Please mention your AADHAAR number (if allotted)



Source of Income

Please select,

as applicable

Salary

Capital Gains

Income from Business / Profession

Business/Profession code

[For Code: Refer instructions]

Income from Other sources

No income

Income from House property

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)



Please select title,

as applicable

Shri

Smt.

Kumari

M/s

Last Name / Surname

First Name

Middle Name

Address

Flat / Room / Door / Block No.

Name of Premises / Building / Village

Road / Street / Lane/Post Office

Area / Locality / Taluka/ Sub- Division

Town / City / District

State / Union Territory

Pincode

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

I/We have enclosed

as proof of identity,

as proof of address and

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]

16 I/We

, the applicant, in the capacity of

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

Place :

D M M

Y Y

Signature / Left Thumb Impression of

Date :

Applicant (inside the box)