Change Pan Application

PAN Card Number:- *

PAN Issuance Proof: *

Please select/tick the items you want to correct or change in your PAN Card:

Make Correction in Name

Update Applicant's Name Detail:

Select Title:- *

Shri

Smt

Kumari

M/s

Surname/Last Name:- *

First Name:- *

Middle Name:- *

Name you would like it printed on the PAN card*

Name Identity Proof: *

Make Correction in Parents's Name

Update Details of Parents:

Select the name of either father or mother which you may like to be printed on PAN card:-

Father

Mother

Father's Surname/Last Name:- *

Father's First Name:- *

Father's Middle Name:-

Make Correction in Date Of Birth

Date Of Birth:- *

Date of Birth Proof:- *

Make Correction in Address for Communication

Update Address:

Address Type:- *

Residence

Office

Name of Office:- *

Flat / Room / Block No:- *

Name of Building / Village:- *

Road / Street / Post Office:-

Area / Locality / Taluka:-

Town / City / District:- *

Pincode / Zip code:- *

State / Union Territory:- *

Address Proof:- *

Applicant's Detail:

Select Title:- *

Shri

Smt

Kumari

M/s

Surname/Last Name:- *

First Name:- *

Middle Name:- *

Name you would like it printed on the PAN card:- *

Name Identity Proof: *

Details of Parents:

Select the name of either father or mother which you may like to be printed on PAN card:-

Father

Mother

Father's Surname/Last Name:- *

Father's First Name:- *

Father's Middle Name:-

Other Details:

Aadhaar Number (12 Digits):- *

Name as given in Aadhaarcard:- *

Date Of Birth:- *

Date of Birth Proof:- *

Gender:- *

Male

Female

Transgender

Mobile Number:- *

+91

Email:- *

Address:

Address Type:- *

Residence

Office

Name of Office:- *

Flat / Room / Block No:- *

Name of Building / Village:- *

Road / Street / Post Office:-

Area / Locality / Taluka:-

Town / City / District:- *

Pincode / Zip code:- *

State / Union Territory:- *

Address Proof:- *

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