Annexure AD

Checklist for Application for Allotment of PAN / Change Request

(To be used prior to generation of acknowledgment from Online PAAM)

Please tick, if corresponding field in application form is properly filled –

1. Photograph (Left side) - To be signed / thumb impressed across photo

2. Photograph (Right side) - No to be signed / thumb impressed across photo

3. Signature / Thumb Impression - To be within the box

4. AO Code / PAN

5. Name (Last name mandatory)

6. Name on Card

7. Gender

8. Date of Birth

9. Father’ Name (Last name mandatory)

10. Address

11. Pin Code / Zip Code

12. Phone / Email

13. Status

14. AADHAAR / Enrolment ID

15. Name as per AADHAAR Letter/Card or Enrolment ID

16. Source of Income

17. Country of Citizenship &

ISD code of the Country of Citizenship

18. Proof of Identity

19. Proof Of Address

20. Proof of Date of Birth

21. Proof of Changes sought

22. Verifier Details

Name of the TIN-FC/PAN Centre official:

Signature: