PAN Card Application & Correction Form

Fill in your details below and upload required documents. Your request will be directly sent to our team at achyutbarik25@gmail.com.

1 Applicant Contact & Personal Details

Full Name *

Phone Number *

WhatsApp Number

Email Address *

Full Postal Address & Pin Code

2 Specific Requirements for PAN Card Apply

Application Type *

Full Name to be Printed on PAN Card *

Father's Full Name *

Date of Birth (as per Aadhaar) *

Gender *

Existing PAN No. (Only for Correction / Reprint)

3 Required Document Uploads for PAN Card Apply

Upload clear photos or scans (JPG, PNG, PDF up to 10MB per file).

📷

Passport Size Photo *

Recent color photo with white background

✍️

Applicant Signature *

Black / Blue ink signature photo on white paper

🪪

Aadhaar Card Copy *

Aadhaar Front & Back photo / PDF

📁

Proof of DOB / Correction Doc

10th certificate or old PAN copy (if correction)

4 Specific Instructions / Special Notes

Choose How You Want to Proceed:

💬 2. Instant Inquire via WhatsApp

🔒 Submit Button sends form & uploaded documents to achyutbarik25@gmail.com.
💬 WhatsApp Button instantly connects you with our coordinator.