ADV.

JITENDRA KUMAR PORWAL 807, ALKA PURI - ETAWAH 6:46 PM Contact Number - 09410078650 Status of Applicant Ward / Circle Area Code Ao Type Range Code Ao No. Prefix First Name Middle Name Last Name/Surmane Name of printed on Pan card Individual 01 - 05 - 2012

ASSESSEE NAME
Smt. SUMITRA DEVI SHARMA SUMITRA SHARMA

DETAIL OF OTHER NAME Give that other name

First Name Middle Name Last Name/Surmane

FATHER'S NAME
First Name Middle Name Last Name/Surmane Flate/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 BHANWAR LAL SHARMA

REDIDENTIAL ADDRESS
73 OPP. SR. SEC. SCHOOL, SYOPUR PRATAP NAGAR, TONK ROAD, JAIPUR RAJASTHAN 302033

OFFICE ADDRESS Office Name

Flate/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 Adress for communication S.T.D. Code Mobile Phone & Telephone Number Email ID

Residential Address 141 2790811

OTHER INFORMATION
Sex Female Date of Birth / Incorporation /Agreement / Partnership or Trust Deed / Formation 09.01.1949 Body of Individual/ Association of Persons Registration Number (In case of Firms,Companies etc. Whether citizen of India Are you a salaried employee ? If yes, Indicate Government Name of Organisation where working If Business, Indicate Nature of Business Indicate Sources of Income First Name Middle Name Last Name/Surmane Flate/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 Yes No

Income from Other Sources

FULL NAME ADDRESS OF THE REPRESENTATIVE ASSESSEE (COLUMN 14)

PROOF OF IDENTITY & ADDRESS

Proof of Identity Proof of Address Indentity Signed By Gazetted Office Indentity Signed By Gazetted Office

Click here Pan 49A Form

Form No. 49A

Application for Allotment of Permanent Account Number Under Section 139A of Income Tax Act, 1961
(To avoid mistake(S) ,Please follow the accompanying instructions and examples carefilly before filling up to the form)

Form No. ITS 4

To, The Assessing Office Ward/Circle Range Commmissioner Sir,

0 0 0 0 Area Code 0 AO Type Range Code Ao No

Only 'Individuals' to affix recent photograph (3.5 cm 2.5 cm)

I/We hereby Request that a permanent account number be allotted to me/us I/We give below necessary particulars :

Full Name ( Full expanded name : initials are not permitted ) Please Tick as applicable Shri Smt. Kumari First Name S U M I Middle Name D E V I T R A S H A R M A as applicable Yes Name you would like printed on card Have you ever been know by any other name ? If yes, please give that other name (Full expanded name : initials are not permitted) Last Name/Surmane Middle Name Shri Smt. First Name Kumari T R A M/s

Signature/Left Thunb Impression

Last Name/Surmane S H A R M A

2 3

S U M I

Please Tick

No

M/s

Father's Name (Only Individual applicants : Even married women should give father's name only) Last Name/Surmane S H A R M A Middle Name L A L First Name B H A N W A R

Address R Residential Address Flate/Door/Block No.

7 3
Name of Premises/Building/Village

O P P

S R .

S E C .

S C H O O L T O N K

S Y O P U R

Road/Street/Lane/Post Office

P R A T A P

N A G A R ,

R O A D ,

Area/Locality/Taluka/Sub - Division Town/City/District State / Union Territory Pin Code

J A I P U R O Office Address ( Name Of Office )

Flate/Door/Block No. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/Sub - Division Town/City/District

RAJASTHAN

3 0 2 0 3 3

State / Union Territory

Pin Code

6 7

Adress for communication Tel. No. Email ID + 9 1

Please Tick

as applicable

or

8 9

Sex (For Individual Applicant Only) Status of Applicant Individual P Hindu Undivided Family H Company C

Please Tick Please Tick

as applicable as applicable Firm F

Male

Female

Body of Individuals B Local Authority L Artificial Juridical person J 1 7 0 7 -

Association of Persons A Association of Person (Trusts) T

10

Date of Birth / Incorporation /Agreement / Partnership or Trust Deed / Formation Body of Individual/ Association of Persons Registration Number (In case of Firms,Companies etc. Whether citizen of India Please Tick as applicable Yes Other

11 12 13

No

(A) Are you a salaried employee ? If yes, Indicate Government

Name of Organisation where working (B) If you are engaged in a business/profession indicate nature of business or profession and fill the relevant code. (C) If you are note covered by (a) or (b) above indicate sources of income, if any

Income From Other Sources 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 column 1 to 3 Last Name/Surmane First Name Middle Name Address R Residential Address Flate/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 as proof of address

Indentity Signed By Gazetted Office

as proof of identity and Indentity Signed By Gazetted Office

I/We Sumitra Devi Sharma above is true to the best of my / our information and belief.

the applicant do hereby declare that what is stated

Venfied today the Adv. JKP - 09410078650

01 - 05 - 2012

Signature / Left Thumb Impression of Applicant (Inside the box)

Form No. 49A

Application for Allotment of Permanent Account Number Under Section 139A of Income Tax Act, 1961
(To avoid mistake(S) ,Please follow the accompanying instructions and examples carefilly before filling up to the form)

Form No. ITS 4

To, The Assessing Office Ward/Circle Range Commmissioner Sir,

0 0 0 0 Area Code 0 AO Type Range Code Ao No

Only 'Individuals' to affix recent photograph (3.5 cm 2.5 cm)

I/We hereby Request that a permanent account number be allotted to me/us I/We give below necessary particulars :

Full Name ( Full expanded name : initials are not permitted ) Please Tick as applicable Shri Smt. Kumari First Name S U M I Middle Name D E V I T R A S H A R M A as applicable Yes Name you would like printed on card Have you ever been know by any other name ? If yes, please give that other name (Full expanded name : initials are not permitted) Last Name/Surmane Middle Name Shri Smt. First Name Kumari T R A M/s

Signature/Left Thunb Impression

Last Name/Surmane S H A R M A

2 3

S U M I

Please Tick

No

M/s

Father's Name (Only Individual applicants : Even married women should give father's name only) Last Name/Surmane S H A R M A Middle Name L A L First Name B H A N W A R

Address R Residential Address Flate/Door/Block No.

7 3
Name of Premises/Building/Village

O P P

S R .

S E C .

S C H O O L T O N K

S Y O P U R

Road/Street/Lane/Post Office

P R A T A P

N A G A R ,

R O A D ,

Area/Locality/Taluka/Sub - Division Town/City/District State / Union Territory Pin Code

J A I P U R O Office Address ( Name Of Office )

Flate/Door/Block No. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/Sub - Division Town/City/District

RAJASTHAN

3 0 2 0 3 3

State / Union Territory

Pin Code

6 7

Adress for communication Tel. No. Email ID + 9 1

Please Tick

as applicable

or

8 9

Sex (For Individual Applicant Only) Status of Applicant Individual P Hindu Undivided Family H Company C

Please Tick Please Tick

as applicable as applicable Firm F

Male

Female

Body of Individuals B Local Authority L Artificial Juridical person J 1 7 0 7 -

Association of Persons A Association of Person (Trusts) T

10

Date of Birth / Incorporation /Agreement / Partnership or Trust Deed / Formation Body of Individual/ Association of Persons Registration Number (In case of Firms,Companies etc. Whether citizen of India Please Tick as applicable Yes Other

11 12 13

No

(A) Are you a salaried employee ? If yes, Indicate Government

Name of Organisation where working (B) If you are engaged in a business/profession indicate nature of business or profession and fill the relevant code. (C) If you are note covered by (a) or (b) above indicate sources of income, if any

Income From Other Sources 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 column 1 to 3 Last Name/Surmane First Name Middle Name Address R Residential Address Flate/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 as proof of address

Indentity Signed By Gazetted Office

as proof of identity and Indentity Signed By Gazetted Office

I/We Sumitra Devi Sharma above is true to the best of my / our information and belief.

the applicant do hereby declare that what is stated

Venfied today the Adv. JKP - 09410078650

01 - 05 - 2012

Signature / Left Thumb Impression of Applicant (Inside the box)