India Post Payments Bank FORM NO. 60 [See second proviso to rule 1148] Form for declaration to be filed by an individual or a person (not being a company or fern) who does not have a Permanent Account Number and who enters into any transaction specified in rule 1148 1. Full Name and Address of the Declarant 2. Particulars of Transaction 3, Amount ofthe Transaction 4, Are you assessed to tax? | Yes | IN 5. Ityes, Details of Ward / Circle / Range where the last return of income was fled? 1 Reasons for not having Permanent Account Number (PAN)? 6. Details of document being produced in support of address in row (1) \ _ o hereby declare that what is stated above is trae tothe best of my Knowledge and belie. Verited today, the day of Date Place ‘Signature of the Declarant * Instuctons: Documents when can be produced suppor ofthe easrass are 43) Raton Card) Passport) Diving lence ley Card sued by ay stun a) Cony fe eect bl orleans to” exmsmunesionitued by a auhorty of he Certal Goverment State dares g) Any otardocurenar dango suppor of bis adaass gen + Incasa of avancacon n tha name oa Mino, nyo th above mentenad documents as proof of etty and Ades of any ‘ot poronsiquaraae of son minor shal be doemas to ba tho oto derity and adage fora mr decarn, aod hs ‘otlraon sold ba signed by he paroriquaroan,