PAN Application Acknowledgment Receipt (For

Changes Or Correction in PAN Data)

( Digital Application - Aadhaar based e-KYC [Bio] )
Received Rs. 106.90/- (incl of taxes) from: SMT MITA DHARA
Application No./Coupon No.: U-Q008047714
PAN Number: xxxxxx471A
Name as to be printed on PAN card: MITA DHARA
Gender FEMALE
Date of Birth/Incorporation 21/08/1985
Father's Name: SWAPAN MONDAL
Aadhaar Number/EID Number: xxxx-xxxx-2959 (MENTIONED,
MATCHED)*
Name as per Aadhaar: MITA DHARA
Applicant's Contact details: 7699862319/saraswateetechnology@gmail.com
Communication Address: RESIDENCE
RESIDENCE State: WEST BENGAL
Proof of Identity: AADHAAR Card issued by UIDAI (In Copy)
Father's Name Proof: Voters ID card (In Copy)
Proof of Address: AADHAAR Card issued by UIDAI (In Copy)
Proof of DOB: AADHAAR Card issued by UIDAI (In Copy)
PAN Proof: No Document
Date of Application: 24/02/2023 18:17:08
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: 3055125428438992 / PY0091445825
Payment Date: 24/02/2023
Application accepted with documentary
proofs for changes/correction in PAN record Name . Father's Name. DOB . Gender .
details for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code:  378715220014 378715220014
(Sign/Stamp)
PAN Service Center Name: 378715220014
Received for submission to UTIITSL
Center Contact Details: padmaranimondal.csc@yahoo.com / 9432981068
To know your PAN Application status, you may visit our website: https://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.