PAN Card Application Form

Personal Details

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Blood Group

Aadhaar Number *

Email ID *

Customer Contact Details

Mobile Number *

Alternate Mobile

WhatsApp Number *

Landline Number

Parent Details

Father's Name *

Father's Mobile

Mother's Name *

Mother's Mobile

Spouse Name

Spouse Mobile

Address Details As Per Aadhaar Only

House/Flat No. & Building Name *

Street/Locality *

Village/Town/City *

District *

State * Application is only accepted for Assam state.

PIN Code *

Document Upload

Proof of Identity (e.g., Aadhaar, Passport, Voter ID) *

Drag & drop file here or click to upload

Proof of Address (e.g., Aadhaar, Utility Bill, Bank Statement) *

Drag & drop file here or click to upload

Proof of Date of Birth (e.g., Birth Certificate, Passport, SSC Certificate) *

Drag & drop file here or click to upload

Recent Passport Size Photograph *

Upload your passport size photo

Other Details

Category *

PAN Status *

AO Code (Area Code) *

AO Type *

Range Code *

AO Number *

Applicant Signature *

Upload scanned signature (within box)

Payment Summary

PAN Application Fee

₹93.00

Processing Fee

₹17.00

Total Amount

₹110.00

PAN Card Application

Personal Details

Customer Contact Details

Parent Details

Address Details As Per Aadhaar Only

Document Upload

Other Details

Application Submitted Successfully