Application Form for a Duplicate of Lost or Damaged PAN Card

Please click here to check the various steps involved in applying online for a duplicate Pan Card using this application form.

Permanent Account Number (PAN)
Date of Birth
Gender
Male Female Transgender
Make correction to my PAN details
Yes No
Applicant shall be required to provide supporting documents for requested correction in PAN details (like name, father's name and date of birth).

### Please select items that needs to be corrected/changed

There is a correction in Name
Name should match exactly with name mentioned in POI and POA
Spelling Correction Name Change
There is a correction in Father's Name
Father's name should match exactly with name mentioned in POI and POA
Spelling Correction Name Change
There is a correction in Date Of Birth
Please provide proof to support the requested change
*Use above mentioned date of birth Yes Change
There is a correction in Gender
There is a correction in AADHAAR Number
There is a correction in Address for Communication
Please provide proof to support the requested change
There is a correction in Telephone Number / Email Address
There is a Photo Mismatch
There is a Signature Mismatch
You have chosen not to make any correction to the existing PAN details. Your PAN application will be processed with the existing PAN details.

### Provide your Income Details

Source of Income
Business / Profession

### Provide your Proof Details

Document for Proof of Date of Birth
Document for Proof of Identity

### Provide your Name

Title
Shri/Mr Smt/Mrs Kumari/Ms
Full Name (Initials are not permitted in first and last name. Expand all initials)
Name to be printed on the PAN Card (Last name provided above should not be shortened)
Name you would like to be printed on the card should not be prefixed with titles such as Shri, Smt, Kumari, Dr., Major, M/s etc.
Have you ever been known by any other name?
Yes No
Father's Name (Even married women should fill in father's name only) (Initials are not permitted in first and last name. Expand all initials)
Mother's Name (Optional)
Select the name of either father or mother which you may like to be printed on PAN card (Select one only) (In case no option is provided then PAN card will be issued with father's name)
Document for Proof of Address

### Provide your Communication Details

Document for Proof of Office Address
Name of Office
Flat / Door / Block No.
Name of Premises / Building / Village
Road / Street / Lane / Post Office
Area / Locality / Taluka / Sub-Division
State / Union Territory
Town / City / District
Pincode / Zipcode
Country Name
Flat / Door / Block No.
Name of Premises / Building / Village
Road / Street / Lane / Post Office
Area / Locality / Taluka / Sub-Division
State / Union Territory
Town / City / District
Pincode / Zipcode
Country Name
Address for Communication
Residence Office
Mobile Number
+91
(This Mobile Number will be used for sending all alerts)
Email ID
(This Email will be used for sending all alerts)

### Provide your Aadhaar Details

AADHAAR Number
(if AADHAAR alloted)
(Enclosing Aadhaar card copy is mandatory)
Name as per AADHAAR card
Are you having more than one PAN card
Yes No
Mention other Permanent Account Numbers (PANs) inadvertently allotted to you
Proof of Issuance of PAN

### Declaration and Acceptance to Terms of Service

I have enclosed as proof of identity, as proof of address and as proof of date of birth. I , the applicant, in the capacity of do hereby declare that what is stated above is true to the best of my information and belief. I have read and agree to the Terms and Conditions
Place
Date
We Accept :

## Apply for a Duplicate of Lost or Damaged PAN Card

This application should be used when a Permanent Account Number (PAN) has already been allotted to the applicant but he/she had lost or damaged the Pan Card and requires a duplicate. A new PAN card bearing the same PAN number will be issued to the applicant. The applicant may also choose to make corrections if any to the existing PAN data. In such case, the new PAN card will bear the updated information.

#### Fill Application

Fill an online application form for a Duplicate of Lost or Damaged PAN Card.

#### Pay Online

Make an online payment using UPI / Credit Card / Debit Card / Internet Banking.

#### Sign Appropriately

Download and Print:

1. Either download pre-filled PDF form, save and print later
2. Or print directly if you are connected to a printer.

Photo:

Paste two recent stamp size colour photographs (3.5 cm x 2.5 cm)

Sign:

Your are required to sign appropriately in the following places (Click here to view demo)

1. One signature across the top left photo (Do not sign over the face)
2. One signature below the top right photo within the box
3. One signature at the bottom of the form within the box
4. In all the pages of proof of Identity, Address, and Date of Birth

#### Send Documents

Enclose the following documents and send it to our address by post/courier

1. Physical application duly signed
2. Self-attested Proof of Identity (Click here to view list)
3. Self-attested Proof of Address (Click here to view list)
4. Self-attested proof of Date of Birth (Click here to view list)