INCOME TAX PAN SERVICES UNIT

(Managed By NSDL e-Governance Infrastructure Limited)

5th floor, Mantri Sterling, Plot No. 341, Survey No. 997/8,
Model Colony, Near Deep Bungalow Chowk, Pune - 411 016
Shri MOHD GHOUSE SHAIK
Date: 21-MAY-2014
Dear Sir/Madam,

Subject:
Your application for "New PAN card or/and Change or Correction in PAN Data" vide
acknowledgement number 881030213436240 for PAN DBAPS5907J

1. The following discrepancy(ies) has/have been noticed in the details submitted by you as compared with details
available with the Income Tax Department (ITD):

2. You are requested to clarify this matter and forward the necessary supporting documents (as explained on the
reverse of this letter) to enable us to process your application.
3. If you do not provide any clarification within 30 days, then your application will be filed and no further action will be
taken.
4. If you have any clarification on this matter, you may kindly get in touch with us on the above mentioned address.
Alternatively if this PAN does not belong to you , you may submit an application in Form 49A for allotment of new
PAN.
5. Information relating to all PAN Services of the Income Tax Department can be obtained by making a phone call to
Aaykar Sampark Kendra (1800-180-1961) , TIN-Call Centre (020-2721 8080) or from the website:
www.incometaxindia.gov.in or www.tin-nsdl.com.
Income Tax Department
(This being a computer-generated letter,no signature is required.Please see overleaf for important instructions)

Caution : Income Tax Department does not send e-mails regarding refunds and does not seek any taxpayer information like user name, password,
details of ATM, bank accounts, credit cards, etc. Taxpayers are advised not to part with such information on the basis of emails.

To be sent to NSDL along with documents
RETURN-SLIP

Particulars As Per Application As Per ITD's Database Remarks
Father's Name KHADEER SHAIK MOHD KHADEER SHAIK Discrepancy
Date of Birth 13-MAY-1991 13-MAY-1990 Discrepancy
ACKNOWLEDGEMENT NO.881030213436240
Please indicate how you want your application to be processed by putting tick in appropriate
boxes.
A. Reprint PAN card with ITD data, no change required: [ ]
B. For following fields, details available with Income Tax Department is / are correct and should not be changed
(ignore application data):
[ ] Name [ ] Father's Name [ ] DOB
C. For following fields, details available with Income Tax Department is / are incorrect and should be changed:
[ ] Name [ ] Father's Name [ ] DOB
(provide documents to support changes as described overleaf)
List of Documents attached: (1)_____________(2)___________(3)___________(4)____________
Name of Applicant: Shri MOHD GHOUSE SHAIK
Signature of Applicant: _______________
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Please provide documents supporting your request for change/ correction in PAN card along with valid proof of identity and PAN
Table-1 List of valid supporting documents in respect of change
Particulars of Change/Correction Valid Supporting Documents (Copy of any one)
Applicant's Name For Married Ladies
For actual name change or major
corrections (e.g. Ranjana Ajaybhai
Dave to Ranjana Manish Trivedi
(Married lady) or Vikram Sarabhai
to Anthony Sarabhai)
For minor corrections in Name (e.g. Any one of the documents listed under Proof of Identity (Table 2) containing the name as desired
Rajiv Rajat Sharma to Rajat Rajeev
Sharma or Anita Mentes to Anita Menzes)
Actual name change or major corrections: Public notification in official gazette or certificate issued by gazetted officer along
with relevant proof of Identity of applicant having Fathers name as desired
Father's Name Minor correction in Fathers Name: Applicant's relevant proof of identity (Table 2) having Father's Name as desired
Date of Birth
Table-2 : List of documents accepted as Proof of Identity and proof of PAN
Proof of Identity (POI) (A):
Note: In case of Minor, POI documents of any of parents/ guardians shall be deemed as POI documents of minor applicant. In case of HUF, POI in the name of Karta is required.
Proof of PAN (POP) (Copy of any one) (B) :
(1) PAN Card (2) PAN Allotment Letter (3) No other Document is acceptable as PAN proof
Instructions for filling Return Slip
1.If you do not want any change but only reprinting of card with existing data then tick A (as per ITD data) on RETURN SLIP
2. If changes are required then tick B and/or C (on RETURN SLIP) as applicable and send following documents alongwith RETURN-SLIP.
Documents in support of change required - Please refer Table 1 Proof of Identity - Please refer Table 2 Column (A)
Proof of PAN - Please refer Table 2 Column (B)
3. If PAN provided by you is not found in ITD database then provide valid proof of PAN (refer Table 2 - Column B) or else correct PAN (if you have given wrong PAN erroneously)
with valid proof of correct PAN.
4. Please ensure that you sign RETURN SLIP.
Please ensure that you provide valid documents (POI, POP and supporting documents) to avoid delays in processing of application.
Call us on 020-2721 8080 or mail us at [email protected] for any help.
SMS facility: Type NSDLPAN <15 digit ack. No.> in the message box and then send it to 57575 to know status of your PAN application.
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(1955 +| 57) +| || 2 +| -+|| (1) + u () + | +|||+- |-| +| c || || -+ .+|++, | (u) +- - : | |:- , |
(+) |++| |c | || || |++| .+|++, | () +| c + - - +| .+|++, | (~) +|+|c , | (-) -|- -- |+, | (a) +| || ||
|+| .+|++, | () -+|-| |+|- +- +|| +| c c + += -+ || | -+++
(A) nhMmZ Hm g~yV -
(i) |---||u- +| .|- - (+) +-:|-| +-|-++, | (u) |+:+ + +|c| |- |-- +|, | (+) +|+|c, | () -|- --|+, | (~) |- --|+, | (-) |-| |+|--+-|- .||+ || ||
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(a) birth certificate issued by the Municipal Authority or any office authorised to issue Birth and Death Certificate by the Registrar of
Birth and Deaths or the Indian Consulate as defined in clause (d) of sub-section (1) of section 2 of the Citizenship Act, 1955 (57 of
1955); or (b) pension payment order; or (c) marriage certificate issued by Registrar of Marriages; or (d) matriculation certificate; or
(e) passport; or (f) driving licence; or (g) domicile certificate issued by the Government; or (h) affidavit sworn before a magistrate
stating the date of birth.
(a) elector's photo identity card ; or (b) ration card having photograph of the applicant; or (c) passport; or (d) driving licence; or (e) arm's license; or (f) AADHAR Card issued by the
Unique Identification Authority of India; or (g) photo identity card issued by the Central Government or a State Government or a Public Sector Undertaking; or (h) Pensioner Card
having photograph of the applicant; (i)Central Government Health Scheme Card or Exservicemen Contributory Heath Scheme photo card; or (ii) certificate of identity in original
signed by a Member of Parliament or Member of Legislative Assembly or Municipal Councillor or a Gazetted Officer, as the case may be; or (iii) bank certificate in original on letter
head from the branch (along with name and stamp of the issuing officer) containing duly attested photograph and bank account number of the applicant.
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( +| ~|; :+ | +| +|+ |++:| ~|=|| a|| || +|++
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(||+ - ~| | - ||+ ~|)
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|=| =| ~|+: | +--|+ ++ (-||| ~) | |+-| | +||- +| -|
Vm{bHm-2 nhMmZ hoVw _mUn Ama Wm`r boIm g`m hoVw
d`{VH AmdoXH Ho {bE
Wm`r boIm g`m hoVw (~) :
(-) || u| | | (~) || u| | ~|+c+ ++ (;) || u| | +| | -+- ~|-|- |; ~| +|++ +|| +-| -:
[aQ>Z pbn ^aZo hoVw Amd`H gyMZm
-. |: ~|+ ++ | |; +|+-+ +-| -|-- - -| |c+ |+ -+|+ A + P:
~. |: ~|+ +|+-+ -|-- - -| -+|+ B ~|, ~+| C + P :-|+| | |c+ |+ :
+|+-+ | :-|+ - -||| - - + |+ : +--|+ -- - -||| - ~ - (~) + |+ :
++ -- - -||| - ~ - (+) + |+ :
;. |: ~|+ | ++ ~| |+|- -| +-| - -| ++ | +| +-- (-||| -~ (- )) ~+| -| ++ |-- :
. +| |c+ |+ + --|= ~+ :
Marriage Certificate or marriage invitation card or publication of name change in official gazette or copy of passport showing
husbands name or a certificate issued by gazetted officer
For Individual Applicants other than Married ladies
Publication of name change in official gazette or a certificate issued by a gazetted officer
Documents should be sent to:
INCOME TAX PAN SERVICES UNIT
(Managed by NSDL e-Governance Infrastructure Limited)
5th Floor, Mantri Sterling, Plot No. 341, Survey No. 997/8, Model Colony, Near Deep Bungalow Chowk, Pune - 411 016.
Office Timings: Monday to Friday 9:30 a.m. to 6:00 p.m., Saturday 9:30 a.m. to 1:00 p.m.
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