FORM NO. 49A (FORM NO. ITS 49A) Application for allotment of Permanent Account Number under section 139A of the Income-tax Act, 1961 [To avoid mistake(s), please follow the accompanying instructions and examples carefully before filling up of the form] To The Assessing Officer, Only 'Individuals' to affix recent photograph (3.5 cm X 2.5 cm) Thumb Impression Sir, I/We hereby request that a permanent account number be allotted to me/us. I/We give below the necessary particulars:1. Full Name (Full expanded name : initials are not permitted) Please Tick b as applicable Shri Last Name/Surname Smt. First Name Kumari M/s Middle Name 2. Name you would like printed on the card 3. Have you ever been known by any other name? Please Tick b as applicable If yes, please give other name (Full expanded name : initials are not permitted) Shri Smt. Last Name/Surname First Name Yes Kumari No M/s Middle Name 4. Father's Name (Only 'Individual' applicants : Even married women should give father's name only) Last Name/Surname First Name Middle Name 5. Address R. Residential Address Flat/Door/Block No. Name of Premises/Building/Village Area/Locality/Taluka/Sub-Division Town/City/District State/Union Territory PIN O. Office Address (Name of Office) Flat/Door/Block No. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/Sub-Division Town/City/District State/Union Territory PIN ________________ (Indicating PIN is mandatory) ________________ (Indicating PIN is mandatory) or O 6. Address for communication. Please Tick b as applicable R , STD Code Tel. No. e-mail ID 8.. Sex (For 'Individual' Applicants only) Please Tick b as applicable Male 9. Status of the Applicant Please Tick b as applicable Female Individual Hindu Undivided Family Company Firm Association of Persons Association of Persons (Trusts) Body of Individuals Local Authority Artificial Juridical Person P H C F A T B L J 10. Date of Birth/Incorporation/Agreement/Partnership or Trust Deed/Formation of Body of Individuals/Associations of Persons 11. Registration Number (In case of Firms, Companies etc.) 12.. Whether citizen of India? Please Tick b as applicable Yes 13(a) Are you a salaried employee? If yes, indicate Government Others No Name of the Organisation where working (c) If you are not covered by (a) or (b) above, indicate sources of income, if any 14. Full name, address of the representative assessee, who is assessable under the Income-tax Act in respect of the person, whose particulars have been given in columns 1 to 13. Full Name/Full expanded name : initials are not permitted) Please Tick b as applicable Shri Smt. Kumari M/s Last Name/Surname First Name Middle Name Address Flat/Door/Block No. Name of Premises/Building/Village Road/Street/Lane/Post Office Area/Locality/Taluka/Sub-Division Town/City/District State/Union Territory PIN ________________ (Indicating PIN is mandatory) 15. I/We have enclosed _____________ as proof of identity and _____________ as proof of address Signature/Left Thumb Impression of Applicant (inside the box)
