Form No.

49A
Application for Allotment of Permanent Account Number
Minor Photo
Only [In the case of Indian Citizens/lndian Companies/Entities incorporated in India/
‘Individuals’
toWith
affix recent
Unincorporated entities formed in India] MinorOnly
‘Individuals’
See Rule 114 to affix recent
photograph
Parent
(3.5 cm x To avoid mistake (s), please follow the accompanying instructions and examples before filling up the form Photo
photograph
(3.5 cm x
2.5 cm)
Across Assessing officer (AO code) Only2.5 cm)

Signature Area code AO type Range code AO No.

Sign / Left Thumb impression
across this photo
A P R W 1 2 3 1 2
Pls select your nearest Below 18 year Children Parent / Relative’s
City/Town/District AO Code Signature / Thumb
Male Female Signature / Left Thumb Impression

1 Full Name (Full expanded name to be mentioned as appearing in proof of identity/date of birth/address documents: initials are not permitted)

Please select title,  as applicable Shri Smt. Kumari (Please tick as applicable)
M/s

Last Name / Surname J A I N

First Name M A N I S H
Middle Name K U M A R
2 Abbreviations of the above name, as you would like it, to be printed on the PAN card

M A N I S H K U M A R J A I N .
J A I N M A N I S H K U MA R .
3 Have you ever been known by any other name? Yes No (please tick as applicable)
If yes, please give that other name
Applicant name can also write like this
Please select title,  as applicable Shri Smt. Kumari M/s
Last Name / Surname
First Name
Middle Name

4 Gender (for Individual applicants only) Male Female Transgender (Please tick
(please tick as applicable)
as applicable)

5 Date of Birth/Incorporation/Agreement/Partnership or Trust Deed/ Formation of Body of individuals or Association of Persons

Day Month Year

6 1 1 1 2 2 0 1 9 Father name will display on Pancard

Details of Parents (applicable only for individual applicants)
Whether mother is a single parent and you wish to apply for PAN by furnishing the name of your mother only?
Yes No (please tick as applicable)
If yes, please fill in mother’s name in the appropriate space provide below. NITESH KUMAR JAIN
Father’s Name (Mandatory except where mother is a single parent and PAN is applied by furnishing the name of mother only)
Last Name / Surname J A I N
First Name N I T E S H
Middle Name K U M A R
Mother’s Name (optional except where mother is a single parent and PAN is applied by furnishing the name of mother only)
Last Name / Surname
First Name
Middle Name
Select the name of either father or mother which you may like to be printed on PAN card (Select one only)
Father’s name Mother’s name (Please tick as applicable)
(In case no option is provided then PAN card will be issued with father’s name except where mother is a single parent and you wish to apply for PAN
by furnishing name of the mother only)’.
7 Address
Residence Address Residence address field is mandatory
Flat / Room / Door / Block No. D O O R N O
Name of Premises / Building / Village S T R E E T / L A N E .
Road / Street / Lane/Post Office C O L O N Y
Area / Locality / Taluka/ Sub- Division C I T Y / T OW N .
Town / City / District D I S T R I C T
State / Union Territory Pincode / Zip code Country Name
STATE NAME 1 2 3 4 5 6 INDIA
 Office address field is Optional
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 Dispatch details will send
0 9 1 9 8 7 6 5 1 2 3 4 5
to the mobile
Email ID [email protected]
10 Status of applicant
Please select status,  as applicable Soft copy (e-PAN) will send to the mail 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 Aadhaar number or the Enrolment ID of Aadhaar application form as per section 139 AA
Please mention your AADHAAR number (if allotted) 1 2 3 4 5 6 7 8 9 1 2 3 Fill Minor Aadhar number .
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
MA N I S H K UMA R J A I N .

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
Income from House property No income
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. (Please

Kumari tick
M/s as applicable)
Last Name / Surname J A I N .
First Name N I T E S H
Middle Name K U M A R
Address
Flat / Room / Door / Block No. D O O R N O
Name of Premises / Building / Village S T R E E T / L A N E
Road / Street / Lane/Post Office
C O L O N Y
Area / Locality / Taluka/ Sub- Division C I T Y / T O W N
Town / City / District D I S T R I C T
State / Union Territory Pincode

STATE NAME 1 2 3 4 5 6
15 Documents submitted as Proof of Identity (POI), Proof of Address (POA) and Proof of Date of Birth (POB)
I/We have enclosed Parent Identity Proof as proof of identity, Parent Address Proof
as proof of address and Minor Date Of Birth Proof as proof of date of birth.

Male / Female
16 I/we Parent / Relative Name , the applicant, in the capacity of Representative Assessee
do hereby declare that what is stated above is true to the best of my/our information and belief.

Place : City / Town / District Parent / Relative’s

Signature / Thumb
Date : 1 5 1 2 2 0 1 9 Ack Receipt Generated Date
Note: As per provisions of Section 272B of the Income Tax Act., 1961, a penalty of ` 10,000 can be levied on possession of more than one PAN.
 Guidelines for the form 49A
 Residence address field is mandatory for Individuals , HUF, AOP, BOI & AJP Categories.
 If you want Office address field , you have to fill both residence & Office address fields.
You should submit office address proof also .

 Office address is field is mandatory for Firm, LLP, Company, Local Authority & Trust Categories.
Residence address field should be blank.
 Office address should not fill Representative Assessee (RA) field .
 In case of Aaadhar card having only year of birth, Additional Date of Birth proof is mandatory.
(Like Birth Certificate, SSC/ Matriculation Certificate, Voter ID, Driving Licence and Passport etc.,)

 If you submit EID (Enrolment Id ) , you have to submit any other proofs along with EID (other than
Aadhar card) for Identity , Address & Date Of Birth Proofs compulsory .(Ex: Voter card, Driving Licence,
Passport, Govt. Employee ID etc..)

Category Capacity Of Verifier

Individual (Male) Himself
Individual (Female) Herself
Individual (Minor) Representative Assessee
Hindu Undivided Family Kartha
Firm / LLP Partner
Trust Trustee
Company Authorized Signatory / Director
Association Of Persons Authorized Signatory
Government Authorized Signatory
Local Authority Authorized Signatory
Body Of Individuals Authorized Signatory
Artificial Juridical Person Authorized Signatory

Dispatch Of Physical Documents

 Pls send all physical documents ( PAN, TAN, TDS, 24G, SFT ) to Head office (Visakhapatnam) only .
 Physical documents should pack properly & send to head office safely.
 Physical documents should be sealed in tamper-proof envelopes, marked as Restricted Confidential
and dispatched through reputed dispatch agencies.
 The documents should contain Acknowledgement receipt with relative proofs compulsory
 If you send documents without Acknowledgement receipt, we will consider that document is not
received at Head Office (Visakhapatnam) .
Dispatch Address :
Mr.KVS Ramakrishna (Dy.General Manager, e-Governance)
Steelcity Securities Limited # 50-81-18, Sithampeta ,
Visakhapatnam - 530016 (Andhra Pradesh)
Call : 9848192732 , 0891-6770222 .
Any application related Query, Contact : 8121120333, 8121120444, 9393273738, 9848842708 .
 Penalty Points Observed in New PAN Application
Quality check errors ( Non - Core )
Error Field Penalty (Rs)
Photo & Sign ( Not Clear Photo , Not Signed across the Photo ) 1000
DOB 500
Father's Name 500
Gender 500
Name on card 500
Name on letter 500
Address 500

Quality check errors ( Non - Core )

Type of error Penalty (Rs)
Verification details incorrect digitized. 100
Source of Income incorrect digitized 100
Email ID / Contact number not/incorrect digitized 100
Verifier name incorrect digitized (for non-individual category) 100
Registration no. mentioned but not /incorrect digitized 100
DOB / DOI incorrect digitized 100
Communication address flag not / incorrect digitized 100
Incorrect Status digitized 100
PIN / ZIP CODE not/incorrect digitized 100
AO code incorrect digitized 100
Document code incorrectly digitized 100
Name/Name to be printed on card /Father name is incorrect digitized 100
PAN Proof details not/incorrect digitized 100
Verifier name not mentioned/incorrect mentioned 100
RA's details not/incorrect digitized 100

Modifications may update every year. If you want updated data, you can check in TOM
( TIN Operation Module in PAAM login )
 Below initials are accepted in Aadhaar card but additional proof is required compulsory.

AB BE EE GH IB KA LA NA PA SA UG YE
AH BI EK GI ID KC LE NG PI SE UL YH
AI BO EL GO II KE LI NI PO SI UM YI
AJ BP EM GU IK KH LO NO PT SK UN YJ
AK CH EO HA IL KI LU OD PU SM UR YO
AL CO EP HE IM KJ MA OE QI SO UZ YU
AM CY ER HO IN KM MC OH QU SR VK ZA
AN DA ES HU IO KN MD OI RA SU WA ZI
AO DD EX IV KO MG OJ RI TA WO ZU
AP DE FA JA KR MH OK RU TE WU
AR DI FE JE KS MI OM TI XI
AS DJ FK JI KU MO ON TO XU
AU DN FU JO MU OR TU
AW DO JR OS
DU JU OU
OZ

If Applicant has initials with name on Aadhaar card, have to submit additional proof forexpanded name.

(Like Voter ID, Driving Licence, Passport and Annexure – A with gazzetted officer attestation with Employee ID Card)

Name has to expand in Login Manager like below :

NAME ON LAST NAME / FIRST NAME MIDDLE NAME NAME ON PAN CARD
AADHAR CARD SURNAME

M BALAJI BALAJI MUNUSAMY MUNUSAMY BALAJI OR BALAJI M OR M BALAJI

VADEVEL CHANDRAN
CHANDRAN V CHANDRAN VADIVEL
OR V CHANDRAN OR CHANDRA V
ALAM MD MD ALAM MD ALAM OR ALAM MD

MD AZAD AZAD MD MD AZAD OR AZAD MD

RAMPURA GOVINDA VIKRAM

R G VIKRAM VIKRAM RAMPURA GOVINDA
OR VIKRAM R G OR R G VIKRAM

KANAKAPURA SAMBA SURESHA

SURESHA K S SURESHA KANAKAPURA SAMBA
OR K S SURESH OR SURESH K S
PONUGUPATI
PONUGUPATI CHINMAYI VSSS PONUGUPATI V S S S CHINMAYI
VSSS
CHINMAYI
 Download e-PAN Card
With

Acknowledgement Number / PAN Number

Acknowledgement Number / PAN Number
200019700123123 / ABCPK1234M

Aadhaar Number ( Only for Individual )

5678 1234 9866

Date of Birth / Incorporation / Formation

Month of Birth MM Year of Birth YYYY

Instructions:
a) This facility is available for PAN holders whose latest
application was processed through Protean.

b) For the PAN applications submitted to Protean where PAN is

allotted or changes are confirmed by ITD within last 30 days, e-
PAN card can be downloaded free of cost three times.

c) If the PAN is allotted / changes in PAN Data are confirmed by ITD

prior to 30 days then charges applicable for download of e-PAN Card
is Rs.8.26/- (inclusive of taxes).

https://www.onlineservices.nsdl.com/paam/requestAndDownloadEPAN.html