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PAN CARD MODE : Both physical PAN and e-PAN Card Application Mode : Physical Application
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Whether mother is a single parent and you wish to apply for PAN by furnishing the name of your mother only? Yes No ✘ (please tick as applicable)
If yes, please fill in mother’s name in the appropriate space provided below.
Fathers’s Name (Mandatory except where mother is a single parent and PAN is applied by furnishing the name of mother only)
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Mothers’s Name (optional except where mother is a single parent and PAN is applied by furnishing the name of mother only)
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(In case no option is provided then PAN card will be issued with father’s name except where mother is a single parent and you wish to apply for
PAN by furnishing name of the mother only) ✘
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G H A R W A S P U R P A R G A N A H A V E L I
G H A R W A S P U R
G H A R W A S P U R
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ranchhordaspatel@gmail.com
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K A N T I
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M I R Z A P U R
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KANTI HIMSELF/HERSELF
MIRZAPUR
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