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PAN Self Declaration Application - Form
Blue Pen • Signature Processing • A4 Single Page
Ready • Data is automatically saved in this browser
TO,
THE INCOME TAX PAN SERVICES UNIT
Managed by Protean eGov Technologies Limited
4th Floor, Sapphire Chambers, Baner Road, Baner,
Pune – 411045
THE INCOME TAX PAN SERVICES UNIT
Managed by Protean eGov Technologies Limited
4th Floor, Sapphire Chambers, Baner Road, Baner,
Pune – 411045
SUBJECT: REQUEST FOR CORRECTION OF NAME AND FATHER'S NAME IN PAN RECORDS
Respected Sir/Madam,
I,S/oam the holder of PAN.
I respectfully submit that the name and father's name in my existing
PAN record were incorrectly updated due to an inadvertent mistake
made by the agent while processing my earlier PAN application/change request.
OLD / INCORRECT DETAILS AS APPEARING IN PAN RECORD:
Old Name:
Old Father's Name:
CORRECT DETAILS AS PER AADHAAR / SUPPORTING DOCUMENTS:
Correct Name:
Correct Father's Name:
The above-mentioned incorrect details were entered/updated
inadvertently by the agent. I therefore kindly request you to
correct the same in the PAN database and PAN records and issue
the corrected PAN card with the correct details mentioned above.
I am enclosing the necessary supporting documents in support of
the requested correction, including my Aadhaar Card, Passport,
existing PAN Card, Annexure-A and other relevant documents.
I kindly request you to process the requested correction at the
earliest and update my PAN records as per the valid supporting
documents enclosed with this application.
PAN / APPLICANT DETAILS
PAN:
Date of Birth:
ENCLOSURES:
. Other Supporting Documents
Thanking You,
Yours faithfully,
Signature
Place:
Date: