Pran Card Correction Online Form PDF Details

If you are looking to make corrections and updates to your Permanent Account Number (PAN) card, look no further. The Pran card correction online form is fast and easy – so much so that you can update your PAN in minutes! In this blog post, we will be discussing the whole process of applying for a Pran card correction, from downloading the form to submitting it with whatever necessary documents are needed. We will also provide tips on how to properly fill out and submit the form in order to ensure success. So let’s get started!

QuestionAnswer
Form NamePran Card Correction Online Form
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other nameshow to change date of birth in nps account, nps correction online, nps date of birth correction form, pran card date of birth correction online

Form Preview Example

Annexure CS-S2

Page 1

Request For Change/Correction in Subscriber Master details And/Or Reissue of I-Pin/T-Pin/PRAN Card

(To avoid mistake(s), please read the accompanying instructions carefully before filling up the form)

PRAN is mandatory. Fill only the field(s)which is/are to be modified with the reviseddetails.

I hereby request for the following details for the change. (Please tick )

Change or Correction in name

Changes or Correction in other Personal details

Changes or Correction in Nomination details

Reissue of PRAN Card

Reissue of I PIN and/or T PIN

Permanent Retirement Account Number *:

I hereby submit the following details of change. (Please tick the box on left margin of appropriate row where change/correction is required and provide the details in the corresponding rows.)

Section A: Change in Personal Details (Please refer to Sr. No.1 to 5of the instructions for supporting document)

Change or Correction in Name (* Indicates Mandatory Field)

1. Full Name (Full expanded name: Initials are not permitted)

Please Tick as applicable Shri First Name *

Smt.

Kumari

Middle Name

Last Name

If the correction in the name to be made in Hindi, Yes

2. Gender : Male

 

 

 

 

 

Female

 

 

 

 

 

 

 

 

 

 

3. Date of Birth

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

(Please provide the details in the annexure on Page No. 7)

(Please refer to Sr. No.3 of the instructions for supporting document)

4. PAN

5.Category (Please tick (√) any one): Government

6.Father’s Full Name:

(PAN should be supported by copy of PAN card)

 

 

 

 

 

 

 

Private Sector

 

Self Employed

 

NRI

/ Others

 

 

 

 

 

 

 

First Name *

Middle Name

Last Name

In case of changes in details pertaining to the point 1 or 3 or 6, CRA shall reprint the PRAN card and shall send the same to the subscriber. This will be charged by CRA.

7.Present Address* (NRIs may please refer to Sr. No. 5 of the instructions): Flat/Unit No, Block no.

Name of Premise/Building/Village

Area/Locality/Taluka

District/Town/City

State / UnionTerritory

Country

Pin Code

Annexure CS-S2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2

 

 

 

 

8. Permanent Address*:If same as above, Please Tick

 

 

else,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Flat/Unit No, Block no.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Premise/Building/Village

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Area/Locality/Taluka

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

District/Town/City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State / UnionTerritory

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pin Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. Phone No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STD Code

 

 

Phone No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Mobile No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Email ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

Do you want to subscribe to SMS Alerts (To be made available later, on a chargeable basis):

Yes

13.

Subscribers Bank Details:(please refer to Sr. No. 6 of instruction)

 

 

 

 

 

 

 

 

You want to change Bank details of:

Tier I

 

Tier II

 

 

 

(In case you want to change bank details in both Tier I & Tier II Account, tick both check box)

No

Tier I Account:

Savings A/c

 

Current A/c

Bank A/c Number

Bank Name

Bank Branch

Bank Address

Pin Code

Bank MICR Code

IFS code (Wherever applicable)

Tier II Account: If same as above for Tier I Yes

OR,

 

Savings A/c

 

 

Current A/c

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank A/c Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank Branch

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pin Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank MICR Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IFS code (Wherever applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Annexure CS-S2

 

 

 

 

Page 3

 

Section B - Subscriber’s Nomination Details (Please refer to Sr. No.7 and 8 of the instructions)

 

 

You want to change Nomination details of:

Tier I

 

Tier II

 

 

 

 

 

 

(In case you want to change nomination details in both Tier I & Tier II Account, tick both check box)

Tier I Account:

1. Name of the Nominee:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Nominee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd Nominee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3rd Nominee

 

First Name*

 

 

 

 

 

 

 

 

 

 

 

First Name *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle Name

 

 

 

 

 

 

 

 

 

 

 

Middle Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Date of Birth (In case of a minor):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Nominee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd Nominee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3rd Nominee

 

3. Relationship with the Nominee:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Nominee*

 

 

 

 

 

 

 

 

 

 

 

2nd Nominee*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3rd Nominee *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Percentage Share:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Nominee*

 

 

 

 

 

 

 

 

 

%

2nd Nominee *

 

 

 

 

 

 

 

 

 

 

 

%

3rd Nominee*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Nominee’s Guardian Details (in case of a minor):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Nominee’s Guardian Details

 

 

 

 

 

 

2nd Nominee’s Guardian Details

3rd Nominee’s Guardian Details

%

 

First Name

 

First Name

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle Name

 

Middle Name

 

Middle Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

Last Name

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tier II Account:

If same as above for Tier I Yes

else,

1. Name of the Nominee:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Nominee

 

 

 

 

 

 

 

2nd Nominee

 

 

 

 

3rd Nominee

 

First Name*

 

First Name *

 

First Name*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle Name

 

Middle Name

 

Middle Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

Last Name

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. Date of Birth (In case of a minor):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Nominee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2nd Nominee

 

 

 

 

 

 

 

 

 

 

3rd Nominee

 

 

 

 

 

 

 

 

 

3. Relationship with the Nominee:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Nominee*

 

2nd Nominee*

 

3rd Nominee *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Percentage Share:

1st Nominee*

 

 

 

%

2nd Nominee *

 

 

 

%

3rd Nominee*

 

 

 

 

 

 

 

 

 

 

 

%

 

 

Annexure CS-S2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 4

5. Nominee’s Guardian Details (in case of a minor):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Nominee’s Guardian Details

2nd Nominee’s Guardian Details

 

 

 

 

3rd Nominee’s Guardian Details

 

First Name

 

First Name

 

 

 

 

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle Name

 

Middle Name

 

 

 

 

 

 

 

Middle Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

Last Name

 

 

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certified that the above declaration has been signed before me by _______________________________________________________

after he / she has read the entries / entries have been read over to him / her by me and got confirmed by him / her. Also certified that the date of birth and employment details is as per employee records available with the Corporate.

Rubber Stamp of the Corporate

Signature of the Authorised Person

Designation of the Authorised Person : _________________________________

Name of the Corporate ______________________

Date :

D D M M Y Y Y Y

Section D –Request for Reissue of I-PIN/T-PIN

I hereby request you to reissue the following

T-PIN

I-PIN

Section E–Request for Reissue of PRAN card.

Reissue of T-Pin, I-Pin and reissue of PRAN card will be chargeable by the CRA.

I_________________________________________________________________ , the applicant, do hereby Declare that the information provided above is true to the best of my knowledge & belief.

Date :

D D M M Y Y Y Y

Signature/Thumb

Impression* of the Subscriber

Annexure CS-S2

Page 5

To be filled by POP-SP

Copy of PAN card submitted

: Yes

No

POP-SP Seal

Signature of Authorized Signatory

Name : ___________________________________

Place : __________________

Désignation : ________________________________

Date :

-

-

 

D

D M M

Y Y

[To be filled by CRA/CRA-FC ]

Received by: ________________________________

 

CRA-FC Registration Number: _______________________

Received at:_____________________________________

 

Date:______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Acknowledgement Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(To be provided by CRA-FC)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Annexure CS-S2

Page 6

INSTRUCTIONS FOR FILLING THE FORM

a. This form is to be used for the purpose of change/correction in subscriber personal details, nominee details, reissue of I-Pin /T-Pin or reissue of PRAN card.

b.The form is to be submitted at the POP-SP for carrying out the necessary changes.

c.Form to be filled legibly in BLOCK LETTERS and in BLACK INK only. Please fill the form in legible handwriting so as to avoid errors in your application processing. Please do not overwrite. Corrections should be made by cancelling and re-writing and such corrections should be counter- signed by the applicant.

d.Please tick the box on the left margin of appropriate row where change/correction is required’ and provide the details in the corresponding row. Please strike off the remaining blank rows for which no change is requested. Each box, wherever provided, should contain only one character (alphabet/number/punctuation mark) leaving a blank box after each word.

e.Details Marked with (*) are the mandatory fields.

f.Mention 12 digits PRAN correctly.

g.All dates Should be in “DDMMYYYY” Format

h.Application incomplete in any respect and/or not accompanied by required documents is liable to be rejected. The application is liable to be rejected if mandatory fields are left blank.

i.Reissue of T-Pin, I-Pin and reissue of PRAN card will be chargeable by the CRA.

j.Subscribers are advised to retain the acknowledgement slip signed/ stamped by the POP-SP where they submit the application

 

 

 

Subscriber’s Personal Details

 

 

 

 

 

Sr.

Item No.

Item Details

 

Guidelines for Filling the Form

No.

 

 

 

 

 

1.

2.

3.

4

5.

6.

 

Section A – Subscriber’s Personal Details

1.

Full Name

In case of change in name please provide the requisite proof such as marriage

certificate or Gazette copy of name change.

 

 

2.

Gender

Please provide a copy of Gazette Notification supporting the change

3.

Date of Birth

Please ensure that this matches with the Date of Birth as indicated in the document

provided in support.

 

 

5.

Category

Fund transfers by NRIs would be subject to regulatory requirements as prescribed by

RBI from time to time and FEMA requirements.

 

 

 

 

An NRI subscriber would need to furnish an Indian address as present address for

7& 8.

Present Address&

communication and bank details within India.

Permanent Address

All future communications will be sent to present address.

 

 

 

List of documents accepted as proof of address is given below.

13

Bank Details

The subscribers shall provide a cancelled cheque, the details of which should match

the bank details provided.

 

 

 

Section B - Subscriber’s Nomination Details

7

8.

 

 

1)

Subscriber can nominate a maximum of three nominees.

 

 

2)

Subscriber cannot fill the same nominee details more than once for same tier.

1 to 4.

Nomination Details

3)

Percentage share value for all the nominees must be integer. Decimals/Fractional

values shall not be accepted in the nomination(s).

 

 

 

 

4)

Sum of percentage share across all the nominees must be equal to 100. If sum of

 

 

percentage is not equal to 100, entire nomination will be rejected.

5.

Nominee’s Guardian

If a nominee is a minor, then nominee’s guardian details shall be mandatory.

Details

 

 

 

Illustrative list of documents acceptable as proof of identity and address

No.

Proof of Identity (Copy of any one)

 

No.

Proof of Address (Copy of any one)

1

School Leaving Certificate

 

1

Electricity bill^

2

Matriculation Certificate

 

2

Telephone bill^

3

Degree of Recognized Educational Institution

 

3

Depository Account Statement^

4

Depository Account Statement

 

4

Credit Card Statement^

5

Bank Account Statement / Passbook

 

5

Bank Account Statement / Passbook^

6

Credit Card

 

6

Employer Certificate^

7

Water Bill

 

 

7

Rent Receipt^

8

Ration Card

 

8

Ration Card

9

Property Tax Assessment Order

 

9

Property Tax Assessment Order

10

Passport

 

 

10

Passport

11

Voter’s Identity Card

 

11

Voter’s Identity Card

12

Driving License

 

12

Driving License

13

PAN Card

 

 

 

Certificate of address signed by a Member of Parliament or

 

Certificate

of identity signed by a Member of Parliament

or

 

 

13

Member of Legislative Assembly or Municipal Councilor or

14

Member of Legislative Assembly or Municipal Councilor or a

 

a Gazetted Officer.

 

Gazetted Officer.

 

 

 

 

 

 

 

Note:

1) Proof of Address mentioned in Sr. No. 1 to 7 (^) should not be more than six months old on the date of application.

2)You are required to bring original documents & two self-attested photocopies (Originals will be returned over-the- counter after verification)

GENERAL INFORMATION FOR SUBSCRIBERS

a)For any further clarification please refer to the PFRDA website www.pfrda.org.in or call on our toll free no. 1800110708

b)The Subscriber can obtain the status of his/her application from the CRA website or through the respective employer.

c)For more information

Visit us at http://www.npscra.nsdl.co.in Call us at 022-24994200

e-mail us at info.cra@nsdl.co.in

Write to: Central Recordkeeping Agency, National Securities Depository Limited, 4th Floor, ‘A’ Wing, Trade World, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai - 400 013.

(

*

*

(* )

*