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Annexure - A: I Hereby Certify That I Know Sh./Smt/Kum

This document contains a certificate that can be issued by certain public officials to verify the identity of an individual applying for a PAN card. The certificate requires the official to attest that they know the applicant and that the personal details provided such as name, father's name, date of birth, residence address, and previous name if applicable are correct. The official issuing the certificate must provide their signature, full name, designation, office address and details, and attach a photocopy of their identity card. The certificate is intended to verify the applicant's identity for the purpose of issuing a PAN card by the Income Tax Department.

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chandra kanta ghosh
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933 views1 page

Annexure - A: I Hereby Certify That I Know Sh./Smt/Kum

This document contains a certificate that can be issued by certain public officials to verify the identity of an individual applying for a PAN card. The certificate requires the official to attest that they know the applicant and that the personal details provided such as name, father's name, date of birth, residence address, and previous name if applicable are correct. The official issuing the certificate must provide their signature, full name, designation, office address and details, and attach a photocopy of their identity card. The certificate is intended to verify the applicant's identity for the purpose of issuing a PAN card by the Income Tax Department.

Uploaded by

chandra kanta ghosh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Annexure -A

(Certificate to be used by a Member of Parliament/Member of Legislative Assembly / Municipal Councillor or


Gazetted Officer under sub-rule (4) of rule 114 of the Income-tax Rules, 1962)

(Affix same
photograph as
affixed on PAN
application form

(To be attested by issuing authority with


his/her signature & rubber stamp appearing
half on the photograph and half on the
certificate)

I hereby certify that I know Sh./Smt/Kum… ……………………………….


son/daughter of …… ………………………...and his/her personal particulars as given
below are correct to the best of my knowledge and belief. I recommend issue of PAN
card by the Income-tax Department to him/her.

Name
Father’s Name
(even in case of married ladies father’s
name is to be provided)
Date of Birth
Residence Address
(if applicant has resided at more than
one place during last one year then
all such address with dates should be
mentioned)
Office Address
Previous Name (in case of
change in name)

Details of issuer of certificate

(Signature)
Office address with location Full Name:
Designation:
Office Seal Department/Organisation/Constituency:
Identity card No:
Date : (Enclose a photocopy of I-card)
Place: Telephone:
Mobile:

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