new pancard application form foreign applicants 49aa

7/31/2019 New Pancard Application Form Foreign Applicants 49AA

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FormNo.49AA

ApplicationforAllotmentofPermanentAccountNumber

[IndividualsnotbeingaCitizenofIndia/EntitiesincorporatedoutsideIndia/

UnincorporatedentitiesformedoutsideIndia]

Undersection139AoftheIncomeTaxAct,1961

Toavoidmistake(s),pleasefollowtheaccompanyinginstructionsandexamplesbeforefillinguptheform

Assessingofficer(AOcode)

Areacode AOtype Rangecode AONo.

Sir,I/Weherebyrequestthatapermanentaccountnumberbeallottedtome/us.

I/Wegivebelownecessaryparticulars:

1 FullName(Fullexpandednametobementionedasappearinginproofofidentity/addressdocuments:initialsarenotpermitted)

Please select title, D asapplicable Shri/Mr Smt/Mrs Kumari/Ms M/s

LastName/Surname

FirstName

MiddleName

2 Abbreviationoftheabovename,asyouwouldlikeit,tobeprintedonthePANcard

3 Haveyoueverbeenknownbyanyothername? Yes No (Pleasetickasapplicable)

Ifyes,pleasegivethatothername


LastName/Surname

FirstName

MiddleName

4 Gender(forIndividualapplicantsonly) Male Female (Pleasetickasapplicable)

5 DateofBirth/Incorporation/Agreement/PartnershiporTrustDeed/FormationofBodyofindividualsorAssociationofPersons

Day Month Year

6 Father'sName(Only'Individual'applicants:Evenmarriedwomenshouldfillinfather'snameonly)

LastName/Surname

FirstName

MiddleName

7 Address

ResidenceAddress

Flat/Room/Door/BlockNo.

NameofPremises/Building/Village

Road/Street/Lane/PostOffice

Area/Locality/Taluka/SubDivision

Town/City/District

State/UnionTerritory Pincode/Zipcode CountryName

OfficeAddressNameofoffice





Town/City/District

State/UnionTerritory Pincode/Zipcode CountryName


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8 AddressforCommunication Residence Office (Pleasetickasapplicable)

9 TelephoneNumber&EmailIDdetails

Countrycode Area/STDCode Telephone/Mobilenumber

EmailID

10 Statusofapplicant

Please select status, D asapplicable Government

Individual Hinduundividedfamily Company PartnershipFirm AssociationofPersons

Trusts BodyofIndividuals LocalAuthority ArtificialJuridicalPersons LimitedLiabilityPartnership

11 RegistrationNumber(forcompany,firms,LLPs,etc.)

12.CountryofCitizenshipISDCodeoftheCountryofCitizenship

13 SourceofIncome Please select status, D asapplicable

Salary CapitalGains

IncomefromBusiness/Profession Business/Professioncode [ForCode:Referinstructions] IncomefromOthersources

IncomefromHouseproperty Noincome

14 RepresentativeorAgentoftheApplicantinIndia

Fullname,addressoftheRepresentativeorAgent

FullName(Fullexpandedname:initialsarenotpermitted)


LastName/Surname

FirstName

MiddleName

Address





Town/City/District

State/UnionTerritory Pincode/Zipcode

15 DocumentssubmittedasProofofIdentity(POI)andProofofAddress(POA)

I/Wehaveenclosed as proof of identity, as

proofofaddress,and asmandatorycertifieddocuments

[Pleaserefertotheinstructions(asspecifiedinRule114ofI.T.Rules,1962)forlistofmandatorycertifieddocumentstobesubmittedasapplicable]

16 KYCdetails*[TobefilledinbyForeignInstitutionalInvestororaQualifiedForeignInvestor,asprescribedundertheregulationsissuedby

theSecuritiesandExchangeBoardofIndia(SEBI)]

["Control"asdefinedunderSEBI(SubstantialAcquisitionofSharesandTakeovers)Regulations,1997

"Beneficial owner" as defined in the para 5.1 of SEBI circular dated December 31, 2010 on Anti Money Laundering.]

(a) IncaseofIndividuals Please select D asapplicable

MaritalStatus Single Married Divorced Widow/Widower

CitizenshipStatus I Foreigner P Person of Indian origin O OverseascitizenofIndia

IncaseofForeigner,countryofCitizenship

Occupationdetails Privatesectorservice Publicsector/Govt.service Business Professional


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(f) I d / idi f i i D

Agriculturist Retired Housewife Student Others

(b) Incaseofnonindividuals Please select D asapplicable

R PrivateCompany U PublicCompany D BodyCorporate

S FinancialInstitution N Non Government Organization C CharitableOrganization

(c) GrossAnnualIncomeINR

Netwoth(Assetslessliabilities)inINR

(d) IncaseofaPublicCompany,whetherlistedonastockexchange Yes No Please select D asapplicable

Ifyes,thenindicatenameofthestockexchange

(e) IncaseofNonindividuals

Doesithavefewpersonsorpersonsofthesamefamilyholdingbeneficialownershipandcontrol.

Yes No Please select D asapplicable

["Control":Controlshallincludetherighttoappointmajorityofthedirectorsortocontrolthemanagementorpolicydecisonsexercisablebyapersonorpersonsactingindividuallyorinconcert,directlyorindirectly,includingbyvirtueoftheirshareholdingormanagement

rigthsorshareholdersagreementsorvotingagreementsorinanyothermanner.

"Beneficialowner" meansthenaturalpersonwhoultimatelyownsorcontrolsthe applicantand/orthepersononwhosebehalfatransaction

isbeingconducted,and includesapersonwhoexercisesultimateeffectivecontroloverajuridicalperson]

stheentityinvolve prov nganyo thefollow ngserv ces P le ase sel ec t asappl ic able

Foreignexchange,MoneyChangerServices Yes No

G ami ng/ Ga mbl in g/ Lo tt er yser vi ce s (Ca si no s and B ett ing S ynd ic ate s) Y es N o

MoneyLending,Pawning Yes No

(g) Whethertheapplicantortheapplicant'sauthorisedsignatories/trustees/officebearersis

(i) apoliticallyexposedperson Yes No

(ii) relatedtoapoliticallyexposedperson Yes No

[FordefinitionofpoliticallyexposedpersonrefertoguidelinesissuedunderthePreventionofMoneyLaunderingAct(PMLA)]

(h) TaxpayeridentificationNumberinthecountryofresidence

17 I/We ,theapplicant,inthecapacityof

doherebydeclarethatwhatisstatedaboveis truetothebestofmy/ourinformationandbelief.

Place

D D M M Y Y Y Y Signature/LeftThumbImpressionof

Applicant(insidethebox)Date