INSTRUCTIONS FOR FILLING CHANGE REQUEST FORM

(a)	Form should be filled in English only.
(b)	Fields marked by asterisk (*) are mandatory.
(c)	Mention 10 digit PAN correctly.
(d)	Each box, wherever provided, should contain only one character (alphabet /number / punctuation sign) leaving a blank box after each word.
(e)	For issue of new PAN card without any changes- In case you have a PAN but no PAN card and wish to get a PAN card, fill all column of the form but do not tick any of the boxes on the left margin. In case of loss of PAN card, a copy of FIR may be submitted along with the form.
(f)	For changes or correction in PAN data, fill all column of the form and tick box on the left margin of appropriate row where change/correction is required.
(g)	Having or using more than one PAN is illegal. If you possess more than one PAN, kindly fill the details in Item No. 11 of this form and surrender the same.

Item No.

Item Details

Guidelines for filling the form

Full Name

Please select appropriate title.

Do not use abbreviations in the First and the Last name/Surname.

For example RAVIKANT should be written as :

Last Name/Surname

First Name

Middle Name

For example SURESH SARDA should be written as :

Last Name/Surname

First Name

Middle Name

For example POONAM RAVI NARAYAN should be written as :

Last Name/Surname

First Name

Middle Name

For example SATYAM VENKAT M. K. RAO should be written as :

Last Name/Surname

First Name

Middle Name

For example M. S. KANDASWAMY(MADURAI SOMASUNDRAM KANDASWAMY) should be written as :

Last Name/Surname

First Name

Middle Name

Applicants other than 'Individuals' may ignore above instructions.

Non-Individuals should write their full name starting from the first block of Last Name/Surname. If the name is longer than the space provided for the last name, it can be continued in the space provided for First and Middle Name.

For example XYZ DATA CORPORATION (INDIA) PRIVATE LIMITED should be written as :

Last Name/Surname

(

First Name

)

Middle Name

For example MANOJ MAFATLAL DAVE (HUF) should be written as :

Last Name/Surname

(

)

First Name

Middle Name

HUFs shall mention HUF after their full name.

In case of Company, the name should be provided without any abbreviations. For example, different variations of 'Private Limited' viz. Pvt Ltd, Private Ltd, Pvt Limited, P Ltd, P. Ltd., P. Ltd are not allowed. It should be 'Private Limited' only.

In case of sole proprietorship concern, the proprietor should apply for PAN in his/her own name.

Name should not be prefixed with any title such as Shri, Smt, Kumari, Dr., Major, M/s etc.

Name as you would like it printed on the card

Individual applicants should provide full/abbreviated name to be printed on the PAN card. Name, if abbreviated, should necessarily contain the last name. For example:

SATYAM VENKAT M. K. RAO should be written as :

Last Name/Surname

First Name

Middle Name

Can be written as in .Name to be printed on the PAN Card. column as

SATYAM VENKAT M. K. RAO or

S. V. M. K. RAO or

SATYAM V. M. K. RAO

For Non - Individual applicants, this should be same as last name field in Item No. 1 above.
Name you would like printed on the card should not be prefixed with titles such as Shri, Smt, Kumari, Dr., Major, M/s etc.

Details of Parents
(Applicable to Individuals only)

Instructions in Item No.1 with respect to name apply here.

Father's Name: It is mandatory for Individual applicants to provide father’s name. Married woman applicant should also give father's name and not husband's name.

Mother's Name: This is an optional field.

Appropriate flag should be selected to indicate the name (out of the father’s name and mother’s given in the form) to be printed on the PAN card.

If none of the option is selected, then father's name shall be considered for printing on the PAN card.

Date of Birth / Incorporation / Agreement / Partnership or Trust Deed / Formation of Body of Individuals / Association of Persons

Date cannot be a future date. Date: 2nd August 1975 should be written as:

D	D	M	M	Y	Y	Y	Y
0	2	0	8	1	9	7	5

Relevant date for different categories of applicants is:

Individual: Actual Date of Birth; Company: Date of Incorporation; Association of Persons: Date of formation/creation; Trusts: Date of creation of TrustDeed; Partnership Firms: Date of Partnership Deed; LLPs : Date of Incorporation/Registration; HUFs: Date of creation of HUF and for ancestral HUF date can be 01-01-0001 where the date of creation is not available.

Gender

This field is mandatory for Individuals. Field should be left blank in case of other applicants.

5 & 6

Photo/signature Mismatch

Individuals issued a PAN card with incorrect/unclear photograph/signature should tick the box on the left margin. The original PAN card with wrong photograph / signature is to be enclosed with the acknowledgement.

Address for Communication - Residence and office

Indicate either Residence or Office address for communication as the case may be.

(1) For Individuals, HUF, AOP, BOI or AJP, either of residential or office address is mandatory.
(2) In case of Firm, LLP, Company, Local Authority and Trust, Name of office and complete address of office is mandatory.

For all categories of applicants, it is necessary to mention complete address and the details of Town/City/District, State/Union Territory, and PINCODE are mandatory.

In case, a foreign address is provided then it is mandatory to provide Country Name along with ZIP Code of the country.

Update other address

If applicant wishes to update other address, besides address for communication, box on left margin to be selected and details of address be provided on an additional sheet in similar format as prescribed in Item No. 7.

Telephone Number and E-mail ID

(1) Telephone number should include country code (ISD code) and STD code or Mobile No. should include Country code (ISD Code of telephone number).

For example :

(i) Telephone number 23555705 of Delhi should be written as

Country code

STD Code

Telephone Number / Mobile number

Where '91' is the country code (ISD code) of India and 11 is the STD Code of Delhi.

(ii) Mobile number 9102511111 of India should be written as

Country code

STD Code

Telephone Number / Mobile number

Where '91' is the country code (ISD code) of India.

(2) It is mandatory for the applicants to mention either their "Telephone number" or valid "e-mail id" so that they can be contacted in case of any discrepancy in the application and/or for receiving PAN through e-mail.

(3) Application status updates are sent using the SMS facility on the mobile numbers mentioned in the application form. (applicable for Indian mobile numbers).

(4) NRI /Foreign National should mention the ISD code of their respective country and City code as applicable in the space provided for ISD/STD code. e. g. Person staying in Chicago should write A1 in the ISD code and 312 in STD code text box.(A1 is ISD code of USA and 312 is City code of Chicago).

Aadhaar number(in case of citizen of India)

Aadhaar number, if allotted, may be quoted (supported by copy of Aadhaar letter/card). If copy of Aadhaar is selected as proof of identity/address/date of birth, then it is mandatory to enter Aadhaar number. In case applicant is ‘MINOR’, Aadhaar of minor should be mentioned in the application form. (i.e. Do not mention Representative Assessee's Aadhaar number)

Mention other Permanent Account Numbers (PANs) inadvertently allotted to you

All PANs inadvertently allotted other than the one filled at the top of the form (the one currently used) should be mentioned and the copy of corresponding PAN card(s) to be submitted for cancellation with the form.

Signature / Thumb impression & Verification

Application must be signed by (i) the applicant; or (ii) Karta in case of HUF; or (iii) Director of a Company; or (iv) Authorised Signatory in case of AOP, Body of Individuals, Local Authority and Artificial Juridical Person; or (v) Partner in case of Firm/LLP; or (vi) Trustee; or (vii) Representative Assessee in case of Minor/deceased/idiot/lunatic/mentally retarded.

Applications not signed in the given manner and in the space provided are liable to be rejected.

It is mandatory to provide Verifier.s name, Verifier capacity and verifier place in the application.

Payment Details

An applicant has an option of making payment either by demand draft, or Credit Card / Debit Card / Net Banking.

Credit card/Debit card:- Applicants making online payment using credit card / debit card will be charged an additional charge of upto 2% (plus applicable taxes) of application fee by the bank providing gateway facility. Additionally, the conversion/exchange rates may also be levied by the card issuing bank, as per prevailing rates.

Net Banking:- Applicants making payment through Net Banking facility will be charged an additional surcharge of

4.00 + service tax for payment gateway facility.

(h)

Documents to be submitted along with the application

Proof of identity, address and date of birth

Documents which are acceptable as proof of identity, address and date of birth (applicable for Individuals & Karta of HUF) are mentioned in Detailed instructions for documents to be submitted.
Proof of Identity, address and date of birth must be in the name of the applicant as mentioned in the application form.
If the applicant is a minor (i.e. below 18 years of age at the time of application), any of the documents acceptable as proof of identity and address of any of the parents/ guardian of such minor shall be deemed to be the proof of identity and address of the applicant.
Proof of address in the name of spouse/parents/sibling etc., will not be accepted as valid proof of address.
Proof of Address is required for the address mentioned in "Address for communication" in item no.7.
If item no.8 is ticked & filled in, proof of address mentioned therein is also required.

Proof of PAN

Proof of PAN is required for the PAN currently in use (i.e. existing PAN). This is required for the PAN mentioned at the beginning of the application before item no. 1
Proof of PAN is also required in case of cancellation request for any PAN, i.e., for any PAN mentioned in Item No. 10
Proof of PAN can be one of the following only:
1. Copy of PAN card; or
2. Copy of intimation letter issued by the Income Tax Department in lieu of PAN card intimating PAN.
3. In case one of the above proofs are not available, a copy of FIR (stating loss of PAN card) can be submitted.

If proof of PAN (as stated above) is not submitted, the application will be processed on a 'good effort' basis even without a copy of FIR. During verification at NSDL, if it is found that there are differences between the PAN or the data provided in the application with the ITD database, the application may not be processed and the processing fee will be forfeited.

Proof for change requested

The applicant shall be required to provide further documentary proof to support request for correction or change in PAN data like name, father's name, date of birth, for example:

Request for change (marginal correction like spelling correction, expansion of initials, etc.,) in applicant's or father's name will have to be supported with suitable proof of identity containing corrected data.
Request for change (significant change) in applicant's or father's name will have to be supported with such proof that will contain proof of change of name from the old to the new in addition to the proof of identity. The documents that shall be accepted as proof in this case are:
1. For married ladies - change of name on account of marriage - marriage certificate, marriage invitation card, publication of 'name-change' in gazette, copy of passport showing husband's name (or vice versa).
2. For individual applicants other than married ladies - publication of `name-change' in gazette.
3. For companies - ROC's certificate for name change.
4. For partnership firms - revised Partnership Deed
5. For other categories which are registered organisations (AOP/Trust/BOI/AJP, etc.) - the revised registration/deed/agreement.
6. For Limited Liability Partnership - Registrar of LLPs certificate for name change
Request for correction of date of birth (for individuals) and date of incorporation (non-individuals) will have to be supported with documents issued by competent authority containing the correct date.
The address for communication in the ITD database will be updated with the address for communication mentioned in the application, even if change in address for communication is not requested in the application.

If the core data relating to the PAN (the applicant's name, date of birth, father's name (for individual), name and date of incorporation [for non-individual]) provided in the application substantially varies with the PAN data in the ITD database and the applicant has not requested for the change in the same with sufficient support documents, the applicant will be intimated of this variance. In such case the applicant will have to provide necessary support documents. If such data substantially matches with the ITD database the PAN card will be printed with the data in the ITD database with only the fields marked for change by the applicant.

Document acceptable as proof of identity, address and date of birth as per Rule 114(4) of Income Tax Rules, 1962
Proof of Identity	Proof of Address	Proof of date of birth	Proof of Issuance of PAN
Indian Citizens (including those located outside India)
Individuals & HUF
(i) Copy of Aadhaar Card issued by the Unique Identification Authority of India; or Elector's photo identity card; or Driving License; or Passport; or Ration card having photograph of the applicant; or Arm's license; or Photo identity card issued by the Central Government or State Government or Public Sector Undertaking; or Pensioner card having photograph of the applicant; or Central Government Health Service Scheme Card or Ex-Servicemen Contributory Health Scheme photo card; or (ii) Certificate of identity in Original signed by a Member of Parliament or Member of Legislative Assembly or Municipal Councilor or a Gazetted officer, as the case may be (in prescribed format); or (iii) Bank certificate in Original on letter head from the branch(along with name and stamp of the issuing officer) containing duly attested photograph and bank account number of the applicant (in prescribed format) Note: 1. In case of Minor, any of the above mentioned documents as proof of identity and address of any of parents/guardians of such minor shall be deemed to be the proof of identity and address for the minor applicant. 2. For HUF, (a) An affidavit by the karta of the Hindu Undivided Family stating the name, father's name and address of all the coparceners on the date of application; and (b) Copy of any document applicable in the case of an individual specified above, in respect of karta of the Hindu undivided family, as proof of identity, address and date of birth.	(i) Copy of Aadhaar Card issued by the Unique Identification Authority of India; or Elector's photo identity card; or Driving License; or Passport; or Passport of the spouse; or Post office passbook having address of the applicant; or Latest property tax assessment order; or Domicile certificate issued by the Government; or Allotment letter of accommodation issued by Central or State Government of not more than three years old; or Property Registration Document; or (ii) Copy of following documents of not more than three months old Electricity Bill; or Landline Telephone or Broadband connection bill; or Water Bill; or Consumer gas connection card or book or piped gas bill; or Bank account statement or as per note 2; or Depository account statement; or Credit card statement; or (iii) Certificate of Address in Original signed by a Member of Parliament or Member of Legislative Assembly or Municipal Councilor or a Gazetted officer, as the case may be (in prescribed format); or (iv) Employer certificate in original (in prescribed format) Note: 1. Proof of Address is required for address mentioned in item no. 7. 2. In case of an Indian citizen residing outside India, copy of Bank Account Statement in country of residence or copy of Non-resident External (NRE) bank account statements (not more than three months old) shall be the proof of address.	Copy of the following documents if they bear the name, date, month and year of birth of the applicant, namely:- Aadhaar card issued by the Unique Identification Authority of India; or Elector's photo identity card; or Driving license; or Passport; or Matriculation certificate or Mark sheet of recognised board; or Birth certificate issued by the municipal authority or any office authorised to issue birth and death certificate by the Registrar of Birth and Deaths or the Indian Consulate as defined in clause (d) of sub-section (1) of section 2 of the Citizenship Act, 1955 (57 of 1955); or Photo identity card issued by the Central Government or State Government or Central Public Sector Undertaking or State Public Sector Undertaking; or Domicile certificate issued by the Government; or Central Government Health Service Scheme photo card or Ex-servicemen Contributory Health Scheme photo card; or Pension payment order; or Marriage certificate issued by the Registrar of Marriages; or Affidavit sworn before a magistrate stating the date of birth	Copy of PAN Card or PAN Allotment Letter No other document is acceptable as proof of issuance of PAN. If proof is not provided then application shall be accepted on a 'good effort basis'.

Other than Individuals and HUF (Indian companies/Entities incorporated in India/Unincorporated entities formed in India)
1	Company	Copy of Certificate of Registration issued by the Registrar of Companies.
2	Partnership Firm	Copy of Certificate of Registration issued by the Registrar of Firms or Copy of partnership deed.
3	Limited Liability Partnership	Copy of Certificate of Registration issued by the Registrar of LLPs
4	Trust	Copy of trust deed or copy of certificate of registration number issued by Charity Commissioner.
5	Association of Person, Body of Individuals, Local Authority, or Artificial Juridical Person	Copy of Agreement or copy of certificate of registration number issued by charity commissioner or registrar of cooperative society or any other competent authority or any other document originating from any Central or State Government Department establishing identity and address of such person.
For Individuals and HUF (Not being a Citizen of India)
Proof of Identity		Proof of address
Copy of 1. Passport, or 2. Person of Indian Origin (PIO) card issued by Government of India, or 3. Overseas Citizen of India (OCI) card issued by Government of India, or 4. Other national or citizenship Identification Number or Taxpayer Identification Number duly attested by 'Apostille' (in respect of countries which are signatories to the Hague Apostille Convention of 1961) or by the Indian Embassy or High Commission or Consulate in the country where the applicant is located or authorised officials of overseas branches of Scheduled Banks registered in India (in prescribed format).		Copy of 1. Passport, or 2. Person of Indian Origin (PIO) card issued by Government of India, or 3. Overseas Citizen of India (OCI) card issued by Government of India, or 4. Other national or citizenship Identification Number or Taxpayer Identification Number duly attested by 'Apostille' (in respect of the countries which are signatories to the Hague Apostille Convention of 1961) or by the Indian Embassy or High Commission or Consulate in the country where the applicant is located or authorised officials of overseas branches of Scheduled Banks registered in India (in prescribed format); or 5. Bank account statement in the country of residence, or 6. Non-resident External(NRE) bank account statement in India, or 7. Certificate of Residence in India or Residential permit issued by the State Police Authorities, or 8. Registration certificate issued by the Foreigner's Registration Office showing Indian address, or 9. Visa granted & Copy of appointment letter or contract from Indian Company & Certificate (in original) of Indian address issued by the employer. Note: - In case 'Office Address (of India)' is mentioned in application made by foreign citizens, then it is mandatory to provide following documents as proof for office address in addition to any of the above residence proof: I. Copy of appointment letter/contract from Indian Company and II. Certificate (in original) of address in India of applicant issued by authorized signatory of employer on employer's letter head mentioning the PAN of the employer and III. Copy of PAN card for the PAN mentioned in the employer's certificate.
Other than Individuals (Including those having no office of their own in India)
Copy of 1. Certificate of Registration issued in the country where the applicant is located, duly attested by 'Apostille' (in respect of the countries which are signatories to the Hague Apostille Convention of 1961) or by the Indian Embassy or High Commission or Consulate in the country where the applicant is located or authorised officials of overseas branches of Scheduled Banks registered in India (in prescribed format), or 2. Registration certificate issued in India or of approval granted to set up office in India by Indian Authorities.		Copy of 1. Certificate of Registration issued in the country where the applicant is located, duly attested by .Apostille. (in respect of the countries which are signatories to the Hague Apostille Convention of 1961) or by the Indian Embassy or High Commission or Consulate in the country where the applicant is located or authorised officials of overseas branches of Scheduled Banks registered in India (in prescribed format), or 2. Registration certificate issued in India or of approval granted to set up office in India by Indian Authorities.