ermar nent Account | 2022 14733 | rink — etn as pets Son Lt Mab np Application Number: 6067581234 Coupon Number: 6067581234 = Assessing Officer(AO Code) [Area Code [AO Type. [Range Code [AONe aa say 1 Full Name (Full expanded name: initials are not permited)r [itle:- SHRI ese Name:- MARUTHI liddle Name: nee FAbevaton of the above name, as you would like it. to be Printed on the PAN card:- AMRERAQ IMARUTH [&. Have you been known by any other name? N [Last Name idle Name’ la Gondor at ol Sith incorporatonhgreomonParnartnp Tas USdFOWSISSS Body of a" Individuals/Association of Person Father's Name: J [Lest Name:=_GANGADHAR —wnddle Names [First Name=AMRERAG 4, -Address= [Residential Address= FlatDoor/Block Ni aaa [Name of Promises/BuildingiVilage= HARB ag |Road/StreetLane/Post Office:- LSA a |Area/. ocalityrTalukarSub-Division= HAINSA rown/CityiDistrict:-ADILABAD ion Territory TELANGANA PIN Coder 804703 ~Gounmp= INO [Official Address:- lottice Name-= [FlatiDooriBlock No. =] hits:www psaontine.uttsl ‘omPsaonine/panDetalsAopEnty -appiNo=GO675612348appiType=R12/9122, 7:06 PM _https:/Mwww psaoniine .tits!.com/psaontine/panDetallsAppEntry 7appINo=G0675812348applType=Rie [Namo of Promises/Building/Villagé I RowdSveevLanePost Ofice: Ira/ocallyTalkaSub-DWision= Fownctybise- stonon Teton iN Code Ses 6. Adress for Communication| RESIDENCE ashore Nomar & Ea 1 Daas = County Code: ot JArasro Cove:- ffreemroremeste Tesoorrzzafemal— JowanMaviTTALT@GMA COM 10. Status of the Applicant: [individual 11. Registration Number(for |Company,firms,LLP's etc):- 5a. Pleas Menon your AADRAAR |Number(if allotted) : pee? | [13.Souree of Income BusinessiProfession code:- Full Name, address of the Representative Assessee, who is assessable under the Income Tax Act in respect of the srson, whose particulars have been given in colmns 1 to 13. [Last Name [Middle Nam iret Nam FFlalDoor/Block No. [Name of Premises/BulldinglVillage [Road/StreetLane/Post Office:- [Areal ocality/Taluka/Sub-Division:~ [FowniCity/District:- [StatelUnion Territory PPIN Code:- |15. We have enclosed Voters ID card (in Copy) as Proof of Identity, Voters ID card (In lcopy) as Proof of Address and Voters ID card (In Copy) as Proof of DOB, ['6. lWo ANRERAO MARUTHI the applicantin the capacity of HIMSELFIHERSELF do hereby ldeclare that what is stated above is true to the best of my/our information and belief. BHAINSA I [ae iS pat ‘Signature/Left thumb Place Date impression of the ‘applicant hips: psaonine.utits.com/psacniine/panDetallsAppEtry?appINo=GO675812348appiType=Ri 22Tacaived Re 107007 (mc. axes) fom: ‘pplication No./Coupen NO. Name as tobe printed on PAN card Gender: Date of Birth/Incorporation: Father's Name: ‘agdhaar number: ‘name as per Aadheor ‘Applicant's Contact details ‘communication Adres: Residence State: office State: proof af ice Proof of Address: Proof of DOB: Date of Receint Mode of Pancerd oarTU4733] SRAVL TECHNICAL DATTU CATO 2g Ha oe MATCHED USING BIOMBTRIC DETAILS - WILL BE {pATTUA7 32) etal 6302939300 / datget SBE “To know your PAN Application status, you may) about blank u-6067581234 [AMRERAO MARUTHI MALE (01/01/1997 [AMRERAO GANGADHAR vexxx-10000-2579 (MENTIONED, MATCHED)” |AMRERAO MARUTHE {6300131750 / DHARMAVITTAL7! RESIDENCE TELANGANA Not Mentioned Voters 19 card (In COPY) Voters 10 card (In Copy) Voters 10 card (In Copy) sMASL.COM eonak As per instruction from Income Tax Departmen ‘authorized agency’ agent may visit you for Your Scoot AS RGtdocamentssubalted by you wi te Tr moran ou orereguesed ta gn ating tata” with the PAX 27D Your cooperation is slited i hi SEIT TAN Collection Centre Copy Receipt (Form 494) (SSCS for submission to UTITSL sic our website: hutp://worw tits.com. 1d address verification as /t ead from the agentjogo $2 /Dacortne oyaee7 bengg fg mied wore =a aaa aeons, cetera en reer 2808sorowed 249,298 0,298.8, 08 Gangachar, 2-3, dna 8, ‘Arnereo Marat aaa nan 8, dra Buzur),