Request For PAN Changes Or Correction
Pan Number *
Last Name/ Surname *
First Name
Middle Name
Name on Card *
Date of Birth / Incorporation *
Gender *
Father's Last Name *
Father's First Name
Father's Middle Name
Aadhaar Number
Name As Per Aadhaar *
Mobile Number *
Email Address
Flat/Room/Door/Block No. *
Building/Village Name *
Road/Street/Lane/Post Office *
Area/Locality/Sub-Division
Town/City/District *
State/Union Territory *
Pincode *
Number of Documents *
Changes Or Correction ?
Proof of Identity *
Proof of Address *
Proof of DOB *
Form PDF (200dpi) *
Photo (jpg) *
Sign (jpg) *
Charges
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