Verification Certificate - Certificate under provisions of rule 114(4) of Income Tax Rules, 1962

Verification Certificate

[Certificate under provisions of rule 114(4) of Income Tax Rules, 1962]

I hereby certify that I know Sh./Smt./Kum .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

Son/Daughter of  .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. and whose personal particulars, as given below, are correct to the best of my knowledge & belief. I recommend issue of PAN card by Income Tax Department to him/her.

Details of issuer of certificate -

Full Name :

Designation :

Department/Organization :

Office address with location :

Identity Card No. :

(Enclose a photocopy of I-Card)

Telephone/Mobile No. :