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3/14/2018 INSTRUCTIONS FOR FILLING CHANGE REQUEST FORM

INSTRUCTIONS FOR FILLING CHANGE REQUEST FORM

(a) Form should be filled in English only.


(b) Fields marked by asterisk (*) are mandatory.
(c) Mention 10 digit PAN correctly.
(d) Each box, wherever provided, should contain only one character (alphabet /number / punctuation sign) leaving
a blank box after each word.
(e) For issue of new PAN card without any changes- In case you have a PAN but no PAN card and wish to get a
PAN card, fill all column of the form but do not tick any of the boxes on the left margin. In case of loss of
PAN card, a copy of FIR may be submitted along with the form.
(f) For changes or correction in PAN data, fill all column of the form and tick box on the left margin of
appropriate row where change/correction is required.
(g) Having or using more than one PAN is illegal. If you possess more than one PAN, kindly fill the details in
Item No. 11 of this form and surrender the same.
Item
Item Details Guidelines for filling the form
No.
1 Full Name Please select appropriate title.
Do not use abbreviations in the First and the Last name/Surname.
For example RAVIKANT should be written as :
Last Name/Surname R A V I K A N T
First Name
Middle Name

For example SURESH SARDA should be written as :


Last Name/Surname S A R D A
First Name SU RE S H
Middle Name

For example POONAM RAVI NARAYAN should be written as :


Last Name/Surname N A R A Y A N
First Name P O O N A M
Middle Name R A V I

For example SATYAM VENKAT M. K. RAO should be written as :


Last Name/Surname R A O
First Name S A T Y A M
Middle Name V E N K A T M K

For example M. S. KANDASWAMY(MADURAI SOMASUNDRAM


KANDASWAMY) should be written as :
Last
K A N D A S W A M Y
Name/Surname
First Name M A D U R A I
Middle Name S O M A S U N D R A M
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3/14/2018 INSTRUCTIONS FOR FILLING CHANGE REQUEST FORM

Applicants other than 'Individuals' may ignore above instructions.

Non-Individuals should write their full name starting from the first block of Last
Name/Surname. If the name is longer than the space provided for the last name, it
can be continued in the space provided for First and Middle Name.

For example XYZ DATA CORPORATION (INDIA) PRIVATE LIMITED


should be written as :
Last
X Y Z D A TA CO RP O R A TI O N ( I N D
Name/Surname
First Name I A ) P R I V A T E LI M I TED
Middle Name

For example MANOJ MAFATLAL DAVE (HUF) should be written as :


Last
M A N O J M A FA TLA L D A V E ( H U F)
Name/Surname
First Name
Middle Name

HUFs shall mention HUF after their full name.

In case of Company, the name should be provided without any abbreviations. For
example, different variations of 'Private Limited' viz. Pvt Ltd, Private Ltd, Pvt
Limited, P Ltd, P. Ltd., P. Ltd are not allowed. It should be 'Private Limited' only.

In case of sole proprietorship concern, the proprietor should apply for PAN in
his/her own name.

Name should not be prefixed with any title such as Shri, Smt, Kumari, Dr., Major,
M/s etc.
Name as you would Individual applicants should provide full/abbreviated name to be printed on the PAN
like it printed on the card. Name, if abbreviated, should necessarily contain the last name. For example:
card
SATYAM VENKAT M. K. RAO should be written as :
Last Name/Surname R A O
First Name S A T Y A M
Middle Name V E N K A T M K

Can be written as in .Name to be printed on the PAN Card. column as

SATYAM VENKAT M. K. RAO or


S. V. M. K. RAO or
SATYAM V. M. K. RAO

For Non - Individual applicants, this should be same as last name field in Item No. 1
above.
Name you would like printed on the card should not be prefixed with titles such as
Shri, Smt, Kumari, Dr., Major, M/s etc.
2 Details of Parents Instructions in Item No.1 with respect to name apply here.
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3/14/2018 INSTRUCTIONS FOR FILLING CHANGE REQUEST FORM

(Applicable to
Individuals only) Father's Name: It is mandatory for Individual applicants to provide father’s
name. Married woman applicant should also give father's name and not husband's
name.

Mother's Name: This is an optional field.

Appropriate flag should be selected to indicate the name (out of the father’s
name and mother’s given in the form) to be printed on the PAN card.

If none of the option is selected, then father's name shall be considered for printing
on the PAN card.
3 Date of Birth / Date cannot be a future date. Date: 2nd August 1975 should be written as:
Incorporation /
Agreement / D D M M Y Y Y Y
Partnership or Trust
Deed / Formation of 0 2 0 8 1 9 7 5
Body of Individuals / Relevant date for different categories of applicants is:
Association of
Persons Individual: Actual Date of Birth; Company: Date of Incorporation; Association of
Persons: Date of formation/creation; Trusts: Date of creation of TrustDeed;
Partnership Firms: Date of Partnership Deed; LLPs : Date of
Incorporation/Registration; HUFs: Date of creation of HUF and for ancestral HUF
date can be 01-01-0001 where the date of creation is not available.
4 Gender This field is mandatory for Individuals. Field should be left blank in case of other
applicants.
5 & Photo/signature Individuals issued a PAN card with incorrect/unclear photograph/signature should
6 Mismatch tick the box on the left margin. The original PAN card with wrong photograph /
signature is to be enclosed with the acknowledgement.
7 Address for Indicate either Residence or Office address for communication as the case may
Communication - be.
Residence and office
(1) For Individuals, HUF, AOP, BOI or AJP, either of residential or office address is
mandatory.
(2) In case of Firm, LLP, Company, Local Authority and Trust, Name of office and
complete address of office is mandatory.

For all categories of applicants, it is necessary to mention complete address and the
details of Town/City/District, State/Union Territory, and PINCODE are mandatory.

In case, a foreign address is provided then it is mandatory to provide Country Name


along with ZIP Code of the country.
8 Update other address If applicant wishes to update other address, besides address for communication, box
on left margin to be selected and details of address be provided on an additional
sheet in similar format as prescribed in Item No. 7.
9 Telephone Number (1) Telephone number should include country
and E-mail ID code (ISD code) and STD code or Mobile No.
should include Country code (ISD Code of
telephone number).

For example :
(i) Telephone number 23555705 of
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3/14/2018 INSTRUCTIONS FOR FILLING CHANGE REQUEST FORM

Delhi should be written as


STD Telephone Number / Mobile
Country code
Code number
9 1 1 1 2 3 5 5 5 7 0 5
Where '91' is the country code (ISD code) of
India and 11 is the STD Code of Delhi.

(ii) Mobile number 9102511111 of


India should be written as
STD Telephone Number / Mobile
Country code
Code number
9 1 9 1 0 2 5 1 1 1 1 1
Where '91' is the country code (ISD code) of
India.

(2) It is mandatory for the applicants to mention


either their "Telephone number" or valid "e-mail
id" so that they can be contacted in case of any
discrepancy in the application and/or for
receiving PAN through e-mail.
(3) Application status updates are sent using the
SMS facility on the mobile numbers mentioned
in the application form. (applicable for Indian
mobile numbers).
(4) NRI /Foreign National should
mention the ISD code of their
respective country and City code as
applicable in the space provided for
ISD/STD code. e. g. Person staying in
Chicago should write A1 in the ISD
code and 312 in STD code text box.(A1
is ISD code of USA and 312 is City
code of Chicago).
10 Aadhaar number(in Aadhaar number, if allotted, may be quoted (supported by copy of Aadhaar
case of citizen of letter/card). If copy of Aadhaar is selected as proof of identity/address/date of birth,
India) then it is mandatory to enter Aadhaar number. In case applicant is ‘MINOR’,
Aadhaar of minor should be mentioned in the application form. (i.e. Do not mention
Representative Assessee's Aadhaar number)
11 Mention other All PANs inadvertently allotted other than the one filled at the top of the form (the
Permanent Account one currently used) should be mentioned and the copy of corresponding PAN
Numbers (PANs) card(s) to be submitted for cancellation with the form.
inadvertently allotted
to you
12 Signature / Thumb Application must be signed by (i) the applicant; or (ii) Karta in case of HUF; or (iii)
impression & Director of a Company; or (iv) Authorised Signatory in case of AOP, Body of
Verification Individuals, Local Authority and Artificial Juridical Person; or (v) Partner in case of
Firm/LLP; or (vi) Trustee; or (vii) Representative Assessee in case of
Minor/deceased/idiot/lunatic/mentally retarded.

Applications not signed in the given manner and in the space provided are liable to
be rejected.
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3/14/2018 INSTRUCTIONS FOR FILLING CHANGE REQUEST FORM

It is mandatory to provide Verifier.s name, Verifier capacity and verifier place in the
application.
13 Payment Details An applicant has an option of making payment either by demand draft, or Credit
Card / Debit Card / Net Banking.

Credit card/Debit card:- Applicants making online payment using credit card / debit
card will be charged an additional charge of upto 2% (plus applicable taxes) of
application fee by the bank providing gateway facility. Additionally, the
conversion/exchange rates may also be levied by the card issuing bank, as per
prevailing rates.

Net Banking:- Applicants making payment through Net Banking facility will be
charged an additional surcharge of 4.00 + service tax for payment gateway
facility.

(h) Documents to be submitted along with the application

1 Proof of identity, address and date of birth


a. Documents which are acceptable as proof of identity, address and date of birth (applicable for
Individuals & Karta of HUF) are mentioned in Detailed instructions for documents to be submitted.
b. Proof of Identity, address and date of birth must be in the name of the applicant as mentioned in the
application form.
c. If the applicant is a minor (i.e. below 18 years of age at the time of application), any of the documents
acceptable as proof of identity and address of any of the parents/ guardian of such minor shall be
deemed to be the proof of identity and address of the applicant.
d. Proof of address in the name of spouse/parents/sibling etc., will not be accepted as valid proof of
address.
e. Proof of Address is required for the address mentioned in "Address for communication" in item no.7.
f. If item no.8 is ticked & filled in, proof of address mentioned therein is also required.

2 Proof of PAN
a. Proof of PAN is required for the PAN currently in use (i.e. existing PAN). This is required for the PAN
mentioned at the beginning of the application before item no. 1
b. Proof of PAN is also required in case of cancellation request for any PAN, i.e., for any PAN mentioned
in Item No. 10
c. Proof of PAN can be one of the following only:
i. Copy of PAN card; or
ii. Copy of intimation letter issued by the Income Tax Department in lieu of PAN card intimating
PAN.
iii. In case one of the above proofs are not available, a copy of FIR (stating loss of PAN card) can be
submitted.

If proof of PAN (as stated above) is not submitted, the application will be processed on a 'good effort'
basis even without a copy of FIR. During verification at NSDL, if it is found that there are differences
between the PAN or the data provided in the application with the ITD database, the application may
not be processed and the processing fee will be forfeited.
3 Proof for change requested
The applicant shall be required to provide further documentary proof to support request for correction or
change in PAN data like name, father's name, date of birth, for example:
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3/14/2018 INSTRUCTIONS FOR FILLING CHANGE REQUEST FORM

a. Request for change (marginal correction like spelling correction, expansion of initials, etc.,) in
applicant's or father's name will have to be supported with suitable proof of identity containing
corrected data.
b. Request for change (significant change) in applicant's or father's name will have to be supported with
such proof that will contain proof of change of name from the old to the new in addition to the proof of
identity. The documents that shall be accepted as proof in this case are:
i. For married ladies - change of name on account of marriage - marriage certificate, marriage
invitation card, publication of 'name-change' in gazette, copy of passport showing husband's
name (or vice versa).
ii. For individual applicants other than married ladies - publication of `name-change' in gazette.
iii. For companies - ROC's certificate for name change.
iv. For partnership firms - revised Partnership Deed
v. For other categories which are registered organisations (AOP/Trust/BOI/AJP, etc.) - the
revised registration/deed/agreement.
vi. For Limited Liability Partnership - Registrar of LLPs certificate for name change
c. Request for correction of date of birth (for individuals) and date of incorporation (non-individuals) will
have to be supported with documents issued by competent authority containing the correct date.
d. The address for communication in the ITD database will be updated with the address for
communication mentioned in the application, even if change in address for communication is not
requested in the application.

If the core data relating to the PAN (the applicant's name, date of birth, father's name (for individual),
name and date of incorporation [for non-individual]) provided in the application substantially varies
with the PAN data in the ITD database and the applicant has not requested for the change in the same
with sufficient support documents, the applicant will be intimated of this variance. In such case the
applicant will have to provide necessary support documents. If such data substantially matches with
the ITD database the PAN card will be printed with the data in the ITD database with only the fields
marked for change by the applicant.

Document acceptable as proof of identity, address and date of birth as per Rule 114(4) of Income Tax
Rules, 1962
Proof of
Proof of Identity Proof of Address Proof of date of birth
Issuance of PAN
Indian Citizens (including those located outside India)
Individuals & HUF
(i) Copy of (i) Copy of Copy of the following Copy of
documents if they bear the
a. Aadhaar Card issued a. Aadhaar Card issued name, date, month and year of PAN Card or
by the Unique by the Unique birth of the applicant, namely:- PAN Allotment
Identification Identification Letter
Authority of India; or Authority of India; or a. Aadhaar card issued by the
b. Elector's photo b. Elector's photo identity Unique Identification No other
identity card; or card; or Authority of India; or document is
c. Driving License; or c. Driving License; or b. Elector's photo identity acceptable as
d. Passport; or d. Passport; or card; or proof of issuance
e. Ration card having e. Passport of the spouse; c. Driving license; or of PAN. If proof
photograph of the or d. Passport; or is not provided
applicant; or f. Post office passbook e. Matriculation certificate or then application
f. Arm's license; or having address of the Mark sheet of recognised shall be accepted
g. Photo identity card applicant; or board; or on a 'good effort
issued by the Central g. Latest property tax f. Birth certificate issued by basis'.
Government or State assessment order; or the municipal authority or
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Government or Public h. Domicile certificate any office authorised to


Sector Undertaking; issued by the issue birth and death
or Government; or certificate by the Registrar
h. Pensioner card having i. Allotment letter of of Birth and Deaths or the
photograph of the accommodation issued Indian Consulate as defined
applicant; or by Central or State in clause (d) of sub-section
i. Central Government Government of not (1) of section 2 of the
Health Service more than three years Citizenship Act, 1955 (57
Scheme Card or Ex- old; or of 1955); or
Servicemen j. Property Registration g. Photo identity card issued
Contributory Health Document; or by the Central Government
Scheme photo card; or State Government or
or (ii) Copy of following Central Public Sector
documents of not more Undertaking or State Public
(ii) Certificate of identity than three months old Sector Undertaking; or
in Original signed by a h. Domicile certificate issued
Member of Parliament or a. Electricity Bill; or by the Government; or
Member of Legislative b. Landline Telephone or i. Central Government Health
Assembly or Municipal Broadband connection Service Scheme photo card
Councilor or a Gazetted bill; or or Ex-servicemen
officer, as the case may be c. Water Bill; or Contributory Health
(in prescribed format); or d. Consumer gas Scheme photo card; or
connection card or j. Pension payment order; or
(iii) Bank certificate in book or piped gas bill; k. Marriage certificate issued
Original on letter head or by the Registrar of
from the branch(along e. Bank account Marriages; or
with name and stamp of statement or as per l. Affidavit sworn before a
the issuing officer) note 2; or magistrate stating the date
containing duly attested f. Depository account of birth
photograph and bank statement; or
account number of the g. Credit card statement;
applicant (in prescribed or
format)
(iii) Certificate of Address
Note: in Original signed by a
1. In case of Minor, any of Member of Parliament or
the above mentioned Member of Legislative
documents as proof of Assembly or Municipal
identity and address of any Councilor or a Gazetted
of parents/guardians of such officer, as the case may be
minor shall be deemed to be (in prescribed format); or
the proof of identity and
address for the minor (iv) Employer certificate in
applicant. original (in prescribed
2. For HUF, format)
(a) An affidavit by the karta
of the Hindu Undivided Note:
Family stating the name, 1. Proof of Address is
father's name and address of required for address
all the coparceners on the mentioned in item no. 7.
date of application; and 2. In case of an Indian citizen
(b) Copy of any document residing outside India, copy
applicable in the case of an of Bank Account Statement
individual specified above, in country of residence or
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in respect of karta of the copy of Non-resident


Hindu undivided family, as External (NRE) bank account
proof of identity, address statements (not more than
and date of birth. three months old) shall be the
proof of address.
Other than Individuals and HUF (Indian companies/Entities incorporated in India/Unincorporated entities
formed in India)
1 Copy of Certificate of Registration issued by the
Company
Registrar of Companies.
2 Copy of Certificate of Registration issued by the
Partnership Firm
Registrar of Firms or Copy of partnership deed.
3 Copy of Certificate of Registration issued by the
Limited Liability Partnership
Registrar of LLPs
4 Copy of trust deed or copy of certificate of registration
Trust
number issued by Charity Commissioner.
5 Association of Person, Body of Individuals, Local Copy of Agreement or copy of certificate of registration
Authority, or Artificial Juridical Person number issued by charity commissioner or registrar of
cooperative society or any other competent authority or
any other document originating from any Central or
State Government Department establishing identity and
address of such person.
For Individuals and HUF (Not being a Citizen of India)
Proof of Identity Proof of address
Copy of Copy of
1. Passport, or 1. Passport, or
2. Person of Indian Origin (PIO) card issued by 2. Person of Indian Origin (PIO) card issued by
Government of India, or Government of India, or
3. Overseas Citizen of India (OCI) card issued by 3. Overseas Citizen of India (OCI) card issued by
Government of India, or Government of India, or
4. Other national or citizenship Identification Number 4. Other national or citizenship Identification Number
or Taxpayer Identification Number duly attested by or Taxpayer Identification Number duly attested by
'Apostille' (in respect of countries which are signatories 'Apostille' (in respect of the countries which are
to the Hague Apostille Convention of 1961) or by the signatories to the Hague Apostille Convention of 1961)
Indian Embassy or High Commission or Consulate in or by the Indian Embassy or High Commission or
the country where the applicant is located or authorised Consulate in the country where the applicant is located
officials of overseas branches of Scheduled Banks or authorised officials of overseas branches of
registered in India (in prescribed format). Scheduled Banks registered in India (in prescribed
format); or
5. Bank account statement in the country of residence,
or
6. Non-resident External(NRE) bank account statement
in India, or
7. Certificate of Residence in India or Residential
permit issued by the State Police Authorities, or
8. Registration certificate issued by the Foreigner's
Registration Office showing Indian address, or
9. Visa granted & Copy of appointment letter or
contract from Indian Company & Certificate (in
original) of Indian address issued by the employer.

Note: - In case 'Office Address (of India)' is mentioned


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in application made by foreign citizens, then it is


mandatory to provide following documents as proof for
office address in addition to any of the above residence
proof:
I. Copy of appointment letter/contract from Indian
Company and
II. Certificate (in original) of address in India of
applicant issued by authorized signatory of employer on
employer's letter head mentioning the PAN of the
employer and
III. Copy of PAN card for the PAN mentioned in the
employer's certificate.
Other than Individuals (Including those having no office of their own in India)
Copy of Copy of
1. Certificate of Registration issued in the country 1. Certificate of Registration issued in the country
where the applicant is located, duly attested by where the applicant is located, duly attested by
'Apostille' (in respect of the countries which are .Apostille. (in respect of the countries which are
signatories to the Hague Apostille Convention of 1961) signatories to the Hague Apostille Convention of 1961)
or by the Indian Embassy or High Commission or or by the Indian Embassy or High Commission or
Consulate in the country where the applicant is located Consulate in the country where the applicant is located
or authorised officials of overseas branches of or authorised officials of overseas branches of
Scheduled Banks registered in India (in prescribed Scheduled Banks registered in India (in prescribed
format), or format), or
2. Registration certificate issued in India or of approval 2. Registration certificate issued in India or of approval
granted to set up office in India by Indian Authorities. granted to set up office in India by Indian Authorities.

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