Name of Company / Entity

i Enter the full registered/legal name of the company, firm, trust, LLP, HUF or other entity.

Date of Incorporation / Agreement / Partnership or Trust Deed / Formation

Status (select applicable entity type)

Hindu Undivided Family Company Firm Association of Persons (whether incorporated or not) Body of Individuals (whether incorporated or not) Local Authority Artificial Judicial Person Government Trust Limited Liability Partnership

Office Address

Communication Address (auto-filled from Office Address — edit below if different)

Assessing Officer (AO) Code (leave blank if unknown)

I agree to send the filled & signed physical PAN Application Form through courier/postal services with required documents to Pancard Apply Online postal address for further processing of my PAN.^*

Please note that the Applicant's authorised signatory details will be recorded on the PAN. The signed PAN Application along with all required documents is mandatory for processing.