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YOUR PERSONAL INFORMATION
Category of Applicant
Shri/Mr
Smt/Mrs
Kumari/Ms
Applicant Name
Name on card
Date of Birth
Mobile Number
Email
Father's Name
Mother's Name (Optional)
Select Name to be printed on card
Father's Name
Mother's Name
Residence Address Details
Flat/Door No.
Premises/ Building/ Village
Road/ Street/ Post Office
Area/ Locality/ Taluka
Town/City/District
State
Select State
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Lakshadweep
Puducherry
Country
Pincode
Communication Preference
Residence
Office
Office Address Details
Name of the Office
Flat/Door No.
Premises/ Building/ Village
Road/ Street/ Post Office
Area/ Locality/ Taluka
Town/City/District
State
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Lakshadweep
Puducherry
Pincode
Document Proofs
ID Proof Document
Select ID Proof
VOTER ID
RATION CARD WITH PHOTOGRAPH
PASSPORT
DRIVING LICENSE
ARMS LICENSE
AADHAAR CARD
CENTRAL GOVERNMENT PHOTO ID
STATE GOVERNMENT PHOTO ID
PHOTO ID BY PUBLIC SECTOR UNDERTAKING
PENSIONER CARD WITH PHOTO
CENTRAL GOVERNMENT HEALTH SCHEME CARD
EX-SERVICEMEN HEALTH SCHEME CARD WITH PHOTO
IDENTITY CERTIFICATE IN ORIGINAL SIGNED BY MEMBER OF PARLIMENT
IDENTITY CERTIFICATE IN ORIGINAL SIGNED BY MEMBER OF LEGISLATIVE ASSEMBLY
IDENTITY CERTIFICATE IN ORIGINAL SIGNED BY MUNICIPAL COUNCILLOR
IDENTITY CERTIFICATE IN ORIGINAL SIGNED BY GAZETTED OFFICER
COLLEGE STUDENT ID CARD
Address Proof Document
Select Address Proof
RATION CARD
PASSPORT
VOTER ID
DRIVING LICENSE
ELECTRICITY BILL
LANDLINE BILL
BROADBAND BILL
WATER BILL
GAS CONNECTION BILL
BANK ACCOUNT STATEMENT
DEPOSITORY ACCOUNT STATEMENT
CREDIT CARD STATEMENT
POST OFFICE PASSBOOK
PROPERTY ASSESSMENT ORDER
DOMICILE CERTIFICATE
AADHAR CARD
DOMICILE CERTIFICATE
PROPERTY REGISTRATION DOCUMENT
CERTIFICATE OF ADDRESS SIGNED BY MP
CERTIFICATE OF ADDRESS SIGNED BY MLA
CERTIFICATE OF ADDRESS SIGNED BY COUNCILLOR
CERTIFICATE OF ADDRESS SIGNED BY GAZATTED OFFICER
Date of Birth Proof
Select Date of Birth Proof
BIRTH CERTIFICATE ISSUED BY MUNICIPAL AUTHORITY OR ANY AUTHORIZED OFFICE
PENSION PAYMENT ORDER
MARRIAGE CERTIFICATE ISSUED BY REGISTRAR OF MARRIAGES
MATRICULATION CERTIFICATE
PASSPORT
DRIVING LICENSE
DOMICILE CERTIFICATE ISSUED BY GOVERNMENT
AFFIDAVIT IN ORIGINAL SWORN BEFORE MAGISTRATE STATING DATE OF BIRTH
AADHAR CARD
VOTER ID
Office Address Proof
Select Office Address Proof Document
CREDIT CARD STATEMENT WITH OFFICE ADDRESS
EMPLOYER CERTIFICATE WITH OFFICE ADDRESS
ELECTRICITY BILL WITH OFFICE ADDRESS
TELEPHONE/POST-PAID MOBILE BILL WITH OFFICE ADDRESS
DEPOSITORY STATEMENT WITH OFFICE ADDRESS
OFFICE PROPERTY TAX ASSESSMENT ORDER
BANK ACCOUNT STATEMENT WITH OFFICE ADDRESS
PAN number(s) details
Your PAN Number
Any other PAN numbers
No
Yes
Aadhar Information
Your Aadhaar Number/Enrollement Number (if allotted):
Name as in Aadhaar Card
Information to be updated in your PAN Card
Your name particulars (Full Name/Name on card) to be updated
Signature mismatch - Update your signature
Your Father's name details to be updated
Address for communication details to be updated
Date of Birth/Incorporation/Agreement details to be updated
Additional address details also to be updated
Your Gender details to be updated
Telephone number / email address details to be updated
Your Photo mismatch with card, update your photo
Aadhaar details also to be updated