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    Form 49A Application For Allotment of Permanent Account Number

    Uploaded by

    Palash Mondal
    1) Susanta Mandal has submitted an application for allotment of a Permanent Account Number (PAN). 2) He has provided details such as name, date of birth, address, Aadhaar number, and source of income. 3) Susanta has declared that the information provided in the application is true to the best of his knowledge.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Form 49A Application For Allotment of Permanent Account Number

    Uploaded by

    Palash Mondal
    64 views3 pages
    1) Susanta Mandal has submitted an application for allotment of a Permanent Account Number (PAN). 2) He has provided details such as name, date of birth, address, Aadhaar number, and source of income. 3) Susanta has declared that the information provided in the application is true to the best of his knowledge.

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    1) Susanta Mandal has submitted an application for allotment of a Permanent Account Number (PAN). 2) He has provided details such as name, date of birth, address, Aadhaar number, and source of income. 3) Susanta has declared that the information provided in the application is true to the best of his knowledge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    64 views3 pages

    Form 49A Application For Allotment of Permanent Account Number

    Uploaded by

    Palash Mondal
    1) Susanta Mandal has submitted an application for allotment of a Permanent Account Number (PAN). 2) He has provided details such as name, date of birth, address, Aadhaar number, and source of income. 3) Susanta has declared that the information provided in the application is true to the best of his knowledge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    https://www.myutiitsl.com/panonlineservices/genDuplicateAppPanApp.a...

    Form 49A Application for Allotment of Permanent Account Number


    [In the case of Indian Citizens/Indian Companies/Entities incorporated in India/
    Unincorporated entities formed in India]
    Under section 139A of the Income Tax Act, 1961

    Date: 13/06/2019
    VleID:- 672125730019
    Print

    Application Number: A020798910


    Coupon Number: A020798910

    Both e-PAN and


    PAN Card Mode:-
    physical PAN Card
    Assessing Officer(AO Code)
    Area Code AO Type Range Code AO No
    WBG W 126 4

    1. Full Name (Full expanded name: initials are not permitted):


    Title:- SHRI Last Name:- MANDAL Middle Name:- First Name:- SUSANTA
    2. Abbreviation of the above name, as you would like it, to be printed on the PAN card:- SUSANTA MANDAL
    3. Have you been known by any other name? N
    Last Name:- Middle Name:- First Name:-
    4. Gender:- MALE
    5.Date of Birth / Incorporation/Agreement/Partnership or Trust Deed/Formation of
    27/07/1997
    Body of Individuals/Association of Persons:-
    6.Details of Parents (applicable only for individual
    applicants),
    Whether mother is a single parents and you wish to apply for PAN by furnishing the name of your mother only?

    No
    6. Father's Name : Last Name:- MANDAL Middle Name:- First Name:- MOHIT
    The name of either father or mother which you may
    FATHER'S NAME
    like to be printed on PAN card :

    7. Address:-
    Residential Address:-
    Flat/Door/Block No.:- S/O-MOHIT MANDAL,JELEKHAL

    1 of 3 7/7/2019, 4:07 AM
    https://www.myutiitsl.com/panonlineservices/genDuplicateAppPanApp.a...

    Name of Premises/Building/Village:- SUDHANSUPUR


    Road/Street/Lane/Post Office:- LUXBAGAN
    Area/Locality/Taluka/Sub-Division:- CANNING
    Town/City/District:-
    State/Union Territory:-
    SOUTH TWENTY FOUR PIN Code:- 743370 Country:- INDIA
    WEST BENGAL
    PARGANA
    Official Address:-
    Office Name:-
    Flat/Door/Block No.:-
    Name of Premises/Building/Village:-
    Road/Street/Lane/Post Office:-
    Area/Locality/Taluka/Sub-Division:-
    Town/City/District:- State/Union Territory:- PIN Code:- Country:-
    8. Address for Communication:- RESIDENCE

    9. Telephone Number & Email ID Details :-


    Country Area/STD Telephone/Mobile Email
    91 7029475560 [email protected]
    Code:- Code:- Number:- Address:-
    10. Status of the Applicant:- Individual
    11. Registration Number(for
    Company,firms,LLP's etc):-
    12. In case of a person, who is required to quote Aadhaar Number/
    the Enrolment ID of Aadhaar Application form as per section 139AA
    Please Mention your AADHAAR
    947848879858
    number(if alloted)
    If Aadhaar number is not alloted,
    please mention the enrolment ID of
    Aadhaar application form
    Name As per AADHAAR letter/card
    or as per the Enrolment ID of SUSANTA MANDAL
    Aadhaar application form

    13.Source of Income
    SALARIED Capital Gains
    Income from Business/Profession Income from Other sources
    Income from House property No income

    14. Full Name, address of the Representative Assessee, who is assessable under the Income Tax Act in respect of the
    person, whose particulars have been given in colmns 1 to 13.
    Last Name:- Middle Name:- First Name:-
    Flat/Door/Block No.:-
    Name of Premises/Building/Village:-
    Road/Street/Lane/Post Office:-
    Area/Locality/Taluka/Sub-Division:-
    Town/City/District:- State/Union Territory:- PIN Code:-

    15. I/We have enclosed AADHAAR Card issued by UIDAI (In Copy) as Proof of Identity , AADHAAR Card
    issued by UIDAI (In Copy) as Proof of Address and AADHAAR Card issued by UIDAI (In Copy) as Proof of
    DOB.
    16. I/We SUSANTA MANDAL ,the applicant,in the capacity of HIMSELF/HERSELF do hereby declare that what is
    stated above is true to the best of my/our information and belief.

    2 of 3 7/7/2019, 4:07 AM
    https://www.myutiitsl.com/panonlineservices/genDuplicateAppPanApp.a...

    SOUTH TWENTY FOUR PARGANA

    Signature/Left thumb impression of


    Place Date
    the applicant

    3 of 3 7/7/2019, 4:07 AM

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