PAN Card Annexure-A Certificate | Rakib Star Enterprise

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PAN Card Annexure-A Generator

Certificate to be used by MP / MLA / Municipal Councillor or Gazetted Officer [Rule 114(4)].

1. Applicant Particulars (Table Grid Details)

Salutation

Full Name of Applicant *

Father's Name (Mandatory for all) *

Date of Birth (DOB)

Previous Name (in case of change in name)

Residence Address *

Office Address (Optional)

2. Details of Issuer of Certificate (Officer / MP / MLA)

Issuer Full Name

Designation

Department / Organization / Constituency

Identity Card No. (Photocopy to be enclosed)

Mobile Number

Telephone (Office)

Office Address with Location

Place of Issue

Date of Issue

Mandatory Income Tax Rule 114(4) Compliance Notice

Rakib Star Enterprise (rakibstarenterprise.in) provides independent web-based documentation formatting utilities. Annexure-A is an official certificate under sub-rule (4) of Rule 114 of Income-tax Rules, 1962. It must be duly signed and sealed by an authorized Member of Parliament, Member of Legislative Assembly, Municipal Councillor, or Gazetted Officer with a copy of their official Identity Card enclosed.

Security Advisory: For demo assistance, use standard example mobile 9876543210. Never fabricate government seals or signatures.