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5/30/22, 6:18 PM about:blank

PAN Application Acknowledgment Receipt For Form 49A


( Physical Application
)

Received Rs. 107.00/-


(incl of M/S GYANGANJ JAN KALYAN SEWA
taxes) from SAMITI
Application No./Coupon No. U-A054520061
Name to be printed on PAN GYANGANJ JAN KALYAN SEWA
card SAMITI
Date of Birth/Incorporation 30/05/2022
Applicant's Contact details 9584910254 / akhilmanthanofficial@gmail.com
Communication Address RESIDENCE
Residence State MADHYA PRADESH
Office State MADHYA PRADESH
Certificate of Registration number issued by Charity
Proof of Identity
Commissioner (In Copy)
Certificate from registrar of cooperative Society /
Proof of Address
Competent Authority. (In Copy)
Registration Certificate number issued by Charity
Proof of DOB
Commissioner (In Copy)
Date of Receipt 30/05/2022 06:02:29
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 2150180627204821 / PY0072900111
Payment Date 30/05/2022 06:06:02

PAN Service Center Code


SAI COMMUNICATION
 626635270017
PAN Service Center Name SAI (Sign/Stamp)
COMMUNICATION Received for submission to UTIITSL
Centre Contact Details: null
/null
To know your PAN
Application status, you may visit our website: http://www.utiitsl.com.
As per instruction from Income Tax Department, an authorized agency's agent may visit you for your identity and address verification as
per the documents submitted by you with the PAN application form. You are requested to ask authorization letter/ID card from the agent
before verification.Your cooperation is solicited in this regard.

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