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ae
aA
anent Account Number
eslEntties incorporated in india!
cormed in Indi
arcane marie ber ego 9
| | ey ‘RONG.
| Whether Certified Copies have been ot
_ the Registrar office. ee
3. Whether the documents in hand are cor
| the certified copies and whether the dovgesganiidat
_ given Raise any Doubt or suspicion
4, | Whether the Registration Particulars Ni
| Date page Particulars As Given in the
shown to the counsel Tally with the Pax
As Stated in the Records of the Registr—
‘othe PAN card
"| Whether the Registration Particulars Ni] T +
Date and page Particulars As Given in |]
deed Tally, With the particulars As Stal Ayg
Certified Copy As obtained from the Ro
oft Kuma [C]wis
lof bithladdress document: fills ae not permitted)
Jicomen []as
(lease tick as applicable)
s
rance deed/Title deed tally with
| photograph
een in the Centified Copy
4 Gender Wor dividual applicants only) Wale (iT Fomale [| Transgender (please tick as epplicabie)
5
Dat of BivincorpoationAgreementParterhip or Trust Deed Formation of Body of nda or Assocation of Persons
ty tem te
felt) (elt) [2lelelo
Deals of Parents (apiieabl only for indvilaplicans) ee
‘tee: rater ins engl parent ar you wah to apply fo PAN by fring be name your mother on?
os [_]Wo (tease tes ppicabio)
ote’ : ce rove bln :
ope name eanaatryoxcopt where materi slate pret and PAN sep by fucking the name of mothe ony
I
LastName /Sumame
—
Mane now tna xcept ere atari ares PANT ppd ann te name at ero
Last Name/Sumarre
atone
te :
erm tote tr abr ihm ob adn cad (Sabton oo)
faneerane{-|Mohersnone (usetstar epleti)
1 wish to app for PAN,
(lo cace no ootion is provided then PAN card willbe lsd wit fathr’s name except where mothers single parent and you wish to apoyo
by humishing name of tre mother oniy-
Address
Residence Address
aera Ei
Rarremronciaeane | (TOE a rae