CSF Form

Request For New PAN Card Or/And Changes Or Correction in PAN Data

To avoid mistakes, please refer Guidelines and Instructions
Status of the Applicant. Please Select First*

Permanent Account Number (PAN)*

Applicant has to fill in all the mandatory fields freshly but select tick mark only in the box(es) relevant to the fields (from sr. no. 1 to 11) that require a change/correction.
All mandatory fields are indicated by * on this form page. Clicking on the Box indicated by puts a tick mark marking the field for applying the change/correction.

1. Full Name* (Full extended name, address, dob to be mentioned as appearing in proof of identity /address/ dob documents. Initials are not allowed)
Last Name/Surname First Name Middle Name
Name you would like it printed on the PAN card
2. Details of Parents(applicable only for Individual applicants) *
Father's Name(Mandatory - Even married woman should fill in father's name only) *
Lastname/Surname First Name Middle Name
Mother's Name (optional)
Lastname/Surname First Name Middle Name
Select the name of either father or mother which you may like to be printed on PAN card (Select one only)
3. Date of Birth / Incorporation/Agreement/Partnership or Trust Deed/Formation of Body of Individuals/Association of Persons *
4. Gender(for 'Individual' applicant only)*

5. Photo Mismatch *
6. Signature Mismatch *

7. Address for Communication *
Name of the Office (to be filled only in case of office address)
Flat/Room/Door/Block No.
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
Town/City/District
Town/City/District
State/Union Territory
Pincode
Country Name
Zip Code
8. If you desire to update your other address also, give required details in additional sheet
Flat/Room/Door/Block No.
Name of Premises/Building/Village
Road/Street/Lane/Post Office
Area/Locality/Taluka/Sub-Division
Town/City/District
State/Union Territory
Zip code
9. Telephone number
Telephone ISD Code

Area/STD Code

Telephone/Mobile number*
Email ID
10. AADHAAR number(if alloted) *

11. Mention the Permanent Account Number(PANs) inadvertently alloted to you *
PAN 1 PAN 2
PAN 3 PAN 4

12.Verification
I/We the applicant, in the capacity of do hereby declare that what is started above is true to the best of my/our information and belief.
I/We have enclosed (number of documents) in support of proposed changes/corrections.

Place Date

Identity Proof
Address Proof
DOB Proof
PAN Proof