New PAN Application (Form 49A)

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New PAN Application (Form 49A)

Form 49A History 100 Points Fee

1 Personal Details

2 Contact & Address

3 Documents & Uploads

Category *

First Name *

Middle Name

Last Name / Surname *

Full Name as per Aadhaar *

Gender *

Date of Birth *

Marital Status

Father's Full Name *

Mother's Full Name

12-Digit Aadhaar Number *

Mobile Number *

Email ID *

Alternate Mobile

Pincode (Auto-fills Address) *

Flat / House No *

Building / Village Name *

Road / Street / Lane *

Area / Locality *

Post Office *

City / Town / District *

State / UT *

Proof of Identity (POI) *

Proof of Address (POA) *

Proof of Date of Birth (DOB) *

Aadhaar Front Copy *

JPG, PNG, PDF (Max 500KB)

Aadhaar Back Copy *

JPG, PNG, PDF (Max 500KB)

Passport Photo *

Color portrait photo

Applicant Signature *

Dark ink signature

DOB Proof Document *

Birth Cert / Aadhaar / Admit

Applicant Declaration & Consent: I hereby declare that whatever is stated above is true to the best of my knowledge and belief, give my consent for Aadhaar authentication, and accept the terms of service & processing fees structure of Vysamox. *