Verification Certificate from a Gazetted Officer to Apply for a New PAN Card

1. Aadhaar Card
2. School Leaving Certificate
3. Matriculation Certificate
4. Degree of Recognized Educational Institution
5. Bank Account Statement
6. Property Tax Assessment Order
7. Water Bill
8. Voter ID
9. Driving License
10. Ration Card
11. Passport

For Address Proof

1. Telephone Bill
2. Electricity Bill
3. Statement of Bank Account
4. House Rent Receipt
5. Certificate of the Employer
6. Voter's Identity Card
7. Ration Card Number
8. Driving License
9. Passport

Moreover, to smoothen the procedure of application further, the department also has provisions for individuals unable to provide their proof of address or identity. Such individuals are allowed to submit identity or address certificates duly attested by a Gazette Officer, Councilor of the respective Municipal Committee, Member of the Legislative Assembly, or Member of Parliament.

The current format of the application has been inducted by the Income Tax Department to regulate the procedure.

Procedure to Apply for PAN Verification Certificate

The format for Verification Certificate is mentioned under provisions of rule 114(4) of Income Tax Rules, 1962 of PAN (individual/HUF) and it is available for download at the IT department's official website.

An applicant can download the Gazette Officer form for PAN Card in fillable Pdf version and fill in the required details. The application has two sections - one for the applicant and the other for the corroborator.

New Gazetted Officer Certificate for PAN Card (Annexure A)

This form is to be filled in by the Gazetted Officer, MLA, MP, or Municipal Councilors. On the right-hand corner of the form, the applicant has to affix a passport-size photo and then read the following details to know how to fill Annexure A for PAN Card. 

1. Father's Name
2. Date of Birth
3. Resident Address
4. Office Address
5. Name Change (in case of any change in name)

The issuing authority is required to fill in a declaration that affirms their role as the certifier of the applicant. Then, they have to attest the photograph of the applicant with their signature and official rubber stamp. 

Both signature and stamp have to appear half on the photo and half on the application form. The issuing officer also needs to fill in the form with the following details

1. Signature of the Issuer
2. Full Name
3. Designation
4. Department/ Organisation/ Constituency
5. ID Card number along with a photocopy of the card enclosed with the form
6. Telephone Number
7. Mobile Number
8. Address with location
9. Official Seal
10. Date
11. Place

Certificate of the Employer (Annexure B)

The use of Annexure B in PAN Card is almost the same as Annexure A. But in this case, the applicant can only submit Annexure B if they do not have address proof. Here too, on the right-hand corner of Annexure B, the applicant's passport sized photo needs to be affixed and they need to provide their residential address. 

The employer, then, have to fill in the following details to certify the authenticity of the applicant's address

1. Required details in the declaration statement
2. Office Address
3. Registration Number of the Company/Institution
4. PAN Details of the Organisation
5. Full name of the Issuing Officer
6. Designation
7. PAN Card details of the Individual
8. Office Address with location
9. Telephone Number
10. Mobile Number
11. Signature of the Issuing Officer with Official Seal

The verification certificates, mentioned above, will act as identity as well as address proof, once it is filled in and attested. 

Details of issues of certificate

Office address with location (Signature)

Office Seal Full Name:

Date: Designation:

Place: Department/Organisation Constituency: Identity card No: Mobile