Address for Communication :
Residence
Office
Issue Pan Card with Father or Mother Name :
Father name
Mother Name
Status of applicant :
Aadhar number or the Enrolment ID of Aadhar application form as per section 139 AA :
Source of Income :
Representative Assessee (RA) :
Full Name (Full expanded name : initials are not permitted)
Title :
Shri
Smt.
Kumari
M/s
Guardian Address :
Flat / Room / Door / Block No :
Name of Premises / Building / Village :
Road / Street / Lane / Post Office :
Area / Locality / Taluka / Sub- Division :
Documents submitted as Proof of Identity (POI), Proof of Address (POA) and Proof of Date of Birth (POB) :
Applicant Photo And Signature :
Upload Photo Single Color Background :
KYC details* [To be filled in by Foreign Institutional Investor or a Qualified Foreign Investor, as prescribed under the regulations issued by
the Securities and Exchange Board of India (SEBI)] :
Marital Status:
Select Marriage
Single
Married
Divorced
Widow/Widower
Occupation details:
Select
Private sector service
Public sector/Govt. service
Business
Professional
Agriculturist
Retired
Housewife
Student
Others