Re-issue of Lost / Damaged PAN Card Fill in the simple form and proceed for payment information

1PAN CARD INFORMATION
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(Aadhaar is mandatory to be entered. Please enclose a self-attested copy of Aadhaar card along with the application form)
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2PERSONAL INFORMATION
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(Name should be exactly as per the ID proof. ID proof should have expansion of the initials)
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(Name on the PAN Card should be based on the name of the applicant)
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3CONTACT DETAILS
4DOCUMENT PROOF
5INCOME SOURCE
6ADDRESS INFORMATION

Residence Address *i

DECLARATION

I have enclosed ________________________ as proof of identity, ________________________ as proof of address and ________________________ as proof of date of birth.

I ________________________, the applicant, in the capacity of do hereby declare that what is stated above is true to the best of my information and belief.

Date: 20-May-2019 City of residence:

* Mandatory. Please ensure the name in the ID Proof matches  (Name of the Applicant). If the name does not match, the application would not be accepted.

Proceed & Pay Reset
PAYMENT SUMMARY
Basic PAN Card Service i ₹
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Net Amount ₹
*Inclusive of Taxes

We accept payments through

Credit Card, Debit Card,Net Banking

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