Lost PAN Card Form Online, Application for Duplicate PAN Card

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

1PAN CARD INFORMATION

PAN Number *

I have lost/damaged PAN Card and just need it reissued

Correction/Change in PAN Card Holder's Name			Correction/Change in PAN Card Holder's Father’s Name
Correction in Date Of Birth (as printed on card)			Correction/Change in Address for Communication
Correction/Change in Signature (as printed on card)			Correction/Change in Gender
Correction/Change in Photo (as printed on card)

Proof of Issuance of PAN *

PAN card copy Copy of PAN Allotment Letter No documents FIR Copy (Stating loss of PAN)

Any other PAN Card

2PERSONAL INFORMATION

Category of Applicant *

Individuals Army Navy Air Force

Applicant Name *

(Name should be exactly as per the ID proof. ID proof should have expansion of the initials)

Date of Birth *

Gender *

Male Female

Marital Status *

Single Married

Name on the PAN Card *

(Name on the PAN Card should be based on the name of the applicant)

Father's Name *

3CONTACT DETAILS

Mobile *i
Email ID *i
Land Line
Communication *	Residence Office

4DOCUMENT PROOF

ID Proof *
Address Proof *
Date of Birth *
Office Address *

5INCOME SOURCE

No Income	Business/Profession
Salary	House Property
Capital Gains	Other Sources

6ADDRESS INFORMATION

Residence Address *i

Flat/Room/Door/Block No.
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
State/Union Territory
Town/City/District
Pincode
Country

Office Address (Optional) * i

Name of Office
Flat/Room/Door/Block No.
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
State/Union Territory
Town/City/District
Pincode

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: 26-Jun-2017 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.

Submit Reset

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

Residence Address *i

Office Address (Optional) * i

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