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

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Office Address
Name of office
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 / Zip code
Country Name
8
Address for Communication
Residence
Office
(Please tick as applicable)
9
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 In case of a person, who is required to quote Aadhar number or the Enrolment ID of Aadhar application form as per section 139 AA
Please mention your AADHAAR number (if allotted)
If AADHAAR number is not allotted, please mention the enrolment ID of Aadhaar application form
Name as per AADHAAR letter or card or as per the Enrolment ID of Aadhaar application form
13
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 (POB)
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
D M M
Y
Y Y
Y
Signature / Left Thumb Impression of
Date :
Applicant (inside the box)

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