AFFIDAVIT FOR DATE OF BIRTH FOR PAN CARD

G-A

AFFIDAVIT FOR DATE OF BIRTH FOR PAN CARD

(For PAN Card Application - When No DOB Proof Available - Magistrate)

AFFIDAVIT

I,………………………… Aged ……………years, Son / Daughter of ………….…………… Residing at ……………………………………………………………………………………..…..

DISTT-……………………………… STATE-……………………. PIN………………. do hereby solemnly affirm and declare as under:

1.That I am an Indian citizen and I am applying for a PAN Card in my name.

2.That I do not possess any valid documentary proof of my Date of Birth such as Birth Certificate, School Leaving Certificate, Passport, etc.

3.That due to non-availability of any official records, I am declaring my Date of Birth based on my knowledge and belief.

4. That My details are as follows:

 a-My father's name-……………………………………………………

 b-My husband's name-…………………………………………………

 c-My mother's name-………………………………………………….

 d-Declared My date of birth-………………………………………….

 e-Date of birth in words (……………………………..........……………………….…………)

I want my mother's......./father's.......... name......................................... on my PAN card.

5.That I state that the correct Date of Birth mentioned above is true and accurate as per my valid supporting documents such as: Aadhaar Card No-……………………………………………….

6.That I am submitting this affidavit as a supporting document for PAN Card application in absence of any valid DOB proof.

7.That I understand that this declaration is being made for official purposes and any false information may lead to rejection of application and legal action.

8.That I hereby declare that all the information furnished above is true, correct, and complete, and nothing material has been concealed.

7.That all the information and documents submitted by the deponent are true and correct to the best of his/her knowledge and belief. In case any information or document is found to be false, misleading, or forged in future, legal action may be initiated against the deponent under the relevant provisions of the Income Tax Act, 1961 and the Bharatiya Nyaya Sanhita (BNS), including but not limited to Sections 229(2), 236 and 237, and other applicable laws, for which the deponent shall be solely responsible.

(Signature of Applicant)

NAME-....................................................

(Signature of Applicant)

NAME-....................................................