Affidavit for date of birth proof for pan card

(Please click here for Instructions in Hindi language) -->

(a) Form to be filled in English only.
(b) Fields marked by asterisk ( * ) are mandatory.
(c) Each box, wherever provided, should contain only one character (alphabet /number / punctuation sign) leaving a blank box after each word.
(d) Those already allotted a ten-digit alphanumeric PAN shall not apply again as having or using more than one PAN is illegal. However, request for a new PAN card with the same PAN or/and changes or correction in PAN data can be made by filling up the form for 'Request for New PAN Card or/and Changes or Correction in PAN Data'.
(e) Applicants are required to provide their AO Code details in the application. These details can be obtained either from the Income Tax Office or an applicant can search for the same by selecting the appropriate option using the details provided in the form.
(f) Instructions for filling the Form 49A:
D D M M Y Y Y Y
0 2 0 8 1 9 7 5

Whether mother is a single parent and you wish to apply for PAN by furnishing mother's name only?
It is mandatory for Individual applicants to select the flag (i.e. 'Yes' or 'No').
This flag should be selected as 'Yes' only if (i) Mother is a single parent, and (ii) You wish to apply for PAN using mother's name only. Fathers name should be left blank.
If the flag is selected as 'No', then father's name is mandatory. For such cases, mother's name is optional.

Father's Name: It is mandatory for Individual applicants (except for cases where mother is a single parent) 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. Mother's name is mandatory if the flag value (i.e. Whether mother is a single parent and you wish to apply for PAN by furnishing mother's name only?) is selected as 'Yes'.

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.

2 3 5 5 5 7 0 5
9 1 0 2 5 1 1 1 1 1

This field will contain particulars of the Representative Assessee. This field is mandatory if applicant is minor, deceased, idiot, lunatic or mentally retarded. Column 1 to 13 will contain details of person on whose behalf this application is submitted.

  1. Aadhaar Card issued by the Unique Identification Authority of India; or
  2. Elector's photo identity card; or
  3. Driving License; or
  4. Passport; or
  5. Ration card having photograph of the applicant; or
  6. Arm's license; or
  7. Photo identity card issued by the Central Government or State Government or Public Sector Undertaking; or
  8. Pensioner card having photograph of the applicant; or
  9. Central Government Health Service Scheme Card or Ex-Servicemen Contributory Health Scheme photo card
  1. Aadhaar Card issued by the Unique Identification Authority of India; or
  2. Elector's photo identity card; or
  3. Driving License; or
  4. Passport; or
  5. Passport of the spouse; or
  6. Post office passbook having address of the applicant; or
  7. Latest property tax assessment order; or
  8. Domicile certificate issued by the Government; or
  9. Allotment letter of accommodation issued by Central or State Government of not more than three years old; or
  10. Property Registration Document; or
  1. Electricity Bill
  2. Landline Telephone or Broadband connection bill
  3. Water Bill
  4. Consumer gas connection card or book or piped gas bill
  5. Bank account statement or as per note 2
  6. Depository account statement
  7. Credit card statement
  1. Aadhaar card issued by the Unique Identification Authority of India; or
  2. Elector's photo identity card; or
  3. Driving license; or
  4. Passport; or
  5. Matriculation certificate or Mark sheet of recognised board; or
  6. 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
  7. Photo identity card issued by the Central Government or State Government or Central Public Sector Undertaking or State Public Sector Undertaking; or
  8. Domicile certificate issued by the Government; or
  9. Central Government Health Service Scheme photo card or Ex-servicemen Contributory Health Scheme photo card; or
  10. Pension payment order; or
  11. Marriage certificate issued by the Registrar of Marriages; or
  12. Affidavit sworn before a magistrate stating the date of birth