Application for Allotment of Permanent Account Number [For an Individual being a Citizen of India]

FORM NO. 93

[See rule 158]

Application for Allotment of Permanent Account Number

[For an Individual being a Citizen of India]

Part A: Personal Information

1.

Name

(Refer Note 1 and 2)

2.

Gender

(select one)

(i) Male

(ii) Female

(iii) Transgender

3.

Date ofBirth

dd/mm/yyyy

4.

Aadhaar Number

5.

Residence Address

(Refer Note 3)

6.

Office Address

(Refer Note 3)

7.

Residential Status

(Refer Note 4)

8.

Passport Number (mandatory in case of Non- Resident or

Resident but not ordinarily

resident)

9.

Taxpayer

Identification

Number (TIN) in the Country of Residence (if any)

10.

Contact Details

(i)

Mobile

Number

Country Code

Number

(drop

down)

(ii)

Email ID

(iii)

Landline

No. with

STD Code (if any)

Part B: Source of Income

11.

Source of Income (select one or more)

(i) Salary

(ii) Income from Business/Profession

(iii) Income from House Property

(iv) Capital Gains

(v) Income from Other Sources

(vi) No Income

Part C: Details of Parents

12.

Whether

mother/father is a single parent?

(select one)

(i) Yes

(ii) No

13.

Father‘s Name

(Refer Note 1)

14.

Mother‘s Name

(Refer Note 1)

15.

Name of parent to be printed on Permanent

Account Number card

(select one)

(i) Father

(ii) Mother

Part D: Assessing Officer (AO Code)

16.

(i)

Area Code

(ii)

AO Type

(iii)

Range

Code

(iv)

AO No.

Part E: Representative Assessee, if applicable (Refer Note 5)

17.

Name

(Refer Note 1)

18.

Permanent

Account Number, if any

19.

Aadhaar Number (if Permanent

Account Number is not available)

20.

Address

(Refer Note 3)

21.

Contact Details

(i)

Mobile

Number

Country Code

Number

(drop

down)

(ii)

Email ID

(iii)

Landline

No. with STD Code (if any)

Part F: Communication Address

22.

Address for

Communication (select one)

(i) Residence

(ii) Office

(iii) Representative Assessee Address

Part G: Declaration by Applicant or by Representative Assessee on behalf of the Applicant

23.

Documents submitted as Proof of Identity, Proof of Address and Proof of Date ofBirth of the Applicant (Refer Note 6)

(i)

Proof of

Identity

(Refer Note 7)

(ii)

Proof of

Address

(Refer Note 7)

(iii)

Proof of

Date of Birth

(Refer Note 7)

24.

Documents submitted as Proof of Identity, Proof of Address of Representative Assessee

(Refer Note 6)

(i)

Proof of

Identity

(Refer Note 7)

(ii)

Proof of

Address

(Refer Note 7)

Verification and Declaration

a. I, … … … … … ., in the capacity of ………..(Self or Representative Assessee) do hereby declare that what is stated above is true to the best of my knowledge and belief.

b. I declare that the applicant does not possess Permanent Account Number and shall be liable for le- gal consequences under Income-tax Act, 2025 (30 of 2025) if this declaration is found to be incor- rect.

Place

Date

(Signature or Left Hand Thumb Impression of Applicant or Representative Assessee)

Name:

____________________

Designation:

_______________

Annexure

Particulars

A-1

Proof of Identity

A-2

Proof of Address

A-3

Proof of Date ofBirth