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PAN Card Correction Form Fill With Photo Download Form

Applicant's Detail :

Font Color

Bold Font

PAN CARD NUMBER :

Title :

First Name :

Middle Name :

Last Name :

Gender :

Date of Birth :

Age :

Abbreviations of the above name, as you would like it, to be printed on the PAN card :

Details of Parents :

	FIRST NAME	MIDDLE NAME	LAST NAME
FATHER'S DETAIL :
MOTHER'S DETAIL :

Supporting Document Number :

Address for Communication :

Full Name

Father's Name

Date of Birth

Gender

Address

Phone No & Email ID

Photo Mismatch

Signature Mismatch

Address :

Name of Office (to be filled only in case of office address) :

Flat / Room / Door / Block No :

Name of Premises / Building / Village :

Road / Street / Lane / Post Office :

Area / Locality / Taluka / Sub- Division :

Town / City / District :

State / Union Territory :

Pincode :

Mobile Number :

Email Id :

Issue Pan Card with Father or Mother Name :

Applicant Capacity :

Mention other Permanent Account Numbers (PANs) inadvertently allotted to you :

PAN 1

PAN 2

PAN 3

PAN 4

Aadhar number or the Enrolment ID of Aadhar application form as per section 139 AA :

Please mention your AADHAAR NUMBER
(if allotted) :

Name as per AADHAAR letter or card or as per the Enrolment ID of Aadhaar application form :

Applicant Photo And Signature :

Upload Photo Single Color Background:

Upload Signature Without Background :

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