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Apply For TAN

1. Name(Select only one of the item which ever is applicable)*

Appropriate Entry*
Name of office*
Name of organization*
Name of department*
Name of Ministry*
Designation of the person responsible for making payment /Collecting tax*

Select the appropriate Entry*
Name of Company*
Name of Division*
Name / Location of Branch*
Designation of the person responsible for making payment /Collecting tax*

Select the appropriate Entry*
Salutation*
Last Name /Sur Name*
First Name*
Middle Name
Name / Location of Branch*

2. Address

Flat/Door /Block No*
Name Of Primises / Building /Village*
Road /Street /Lane /Post office*
Town /City / District*
State / Union Territory*
Pin Code*
TelePhone NO.*
Email IDs*	1. 2.

3. Nationality of Deductor*

PAN*

Existing Tax Dedution Account Number
(If Any)*

Existing Tax Collection Account Number
(If Any)*

Date

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