Form No. 97 Declaration | Rakib Star Enterprise

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Form No. 97 (Annexure-1) PAN Declaration Portal

Declaration for Bank Account Opening & Financial Transactions without PAN Card [Rules 159 & 160].

1. Transaction Particulars & Declaration

Nature of Transaction *

Declaration Place *

Declaration Date *

2. Customer Identity & Address Details

Customer Full Name *

Date of Birth (DOB) *

Father's Name *

Aadhaar Number (12 Digits)

PAN Applied Date (If any)

PAN 15-Digit Ack No.

Residence Address *

Office / Business Address (If any)

Address for Communication

Mobile Number *

Email ID

Estimated Taxable Income (in Rs.)

Estimated Exempt Income (in Rs.)

3. Transaction Particulars

Transaction Date

Total Transaction Amount (Rs.)

Cash Transaction Amount (Rs.)

Mode of Transaction

4. Proof Documents (POI, POA & DOB)

1. Proof of Identity (POI)

POI Document Number

POI Issuing Authority

Authority Address

2. Proof of Address (POA)

POA Document Number

POA Issuing Authority

Authority Address

3. Proof of DOB

DOB Document Number

DOB Issuing Authority

Authority Address

5. Verification Declaration

Father / Husband Name *

Application Purpose

Customer Capacity

Statutory Compliance Notice

Form No. 97 (Annexure-1) declaration is filed pursuant to rules 159 and 160 of the Income-tax Rules. Making false declarations attracts penal consequences under section 277 of the Income-tax Act, 1961. Rakib Star Enterprise provides this formatting tool solely for customer facilitation without storing customer records.