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Application for New PAN Card
YOUR PERSONAL INFORMATION
Applicant Title
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 which name is printed on the card
Father's Name
Mother's Name
Known by any other name
NO
YES
Other Name Title
Shri/Mr
Smt/Mrs
Kumari/Ms
Other Applicant 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
Aadhar Information
Your Aadhaar Number/Enrollement Number (if allotted):
Name as in Aadhaar Card
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
Source of Income
No Income
Salary
House Property
Capital Gains
Other Sources
Business Profession
Business Type
Select Business Type
MEDICAL PROFESSION AND BUSINESS
ENGINEERING
ARCHITECTURE
CHARTERED ACCOUNTANT/ACCOUNTANCY
INTERIOR DECORATION
TECHNICAL CONSULTANCY
COMPANY SECRETARAY
LEGAL PRACTITIONERS AND SOLICITORS
GOVERNMENT CONTRACTORS
INSURANCE AGENCY
FILMS, TV AND OTHER SUCH ENTERTAINMENT
INFORMATION TECHNOLOGY
BUILDERS AND DEVELOPERS
MEMBERS OF STOCK EXCHANGE, SHARE BROKERS AD SUB-BROKERS
PERFORMING ARTS AND YATRA
OPERATION OF SHIPS, HOVERCRAFT, AIRCRAFTS AND HELICOPTERS
PLYING TAXIS, LORRIES, TRUCKS, OR OTHER COMMERCIAL VEHICLES
OWNERSHIP OF HORSES OR JOCKEYS
CINEMA HALLS AND OTHER THEATERS
OTHERS
Representative Assessee
Would you need a Representative Assessee
Yes
No
Category of Applicant
Shri/Mr
Smt/Mrs
Kumari/Ms
Applicant Name
Flat/Door No.
Premises/ Building/ Village:
Road/Street/Post Office :
Area/Taluk # :
Town/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
Country :
PIN: