sveoranat * titos wir: pseontine.tits.com/psaontinelpanDetallsAppEnt 7appINo=G0411120848=ppT PERM Application Number: G041112094 ‘Coupon Number: G041112094 Tzsessing Offcer(AO Coos) Code. ‘Type — [Range Code ie 1 ft. Full Name (Full expanded name: initials are not permitted): [i= Sw _ [bestname:= omar = iia Esa eon tt aire ee wo ne Pees ove PAN ‘CHANDA [. Have you been known by any other name? W Name idle Nome iret Namei= [a Gender le Iz Date of Birth Incorporation/AgreementPartnership or Trust Deed/Formation of Body of neat inviduals/Association of Persons:~ Father's Name Name: SARNL Tilidaie Name WA Tame GULAB 10 GULAB SAHNI ame of PremisesiBullding Vilage Twaro ni7 ad/StreoULane/Post Office:- [POHARDIA [ArearLocaltyTalukarSub-Division:- = ps-PuPRt fTown/Gityistict-_SITAMARHL ion Terriory=_BIMAR _]PIN Gode:- 043320 INDIA Official Address:- \[Office Name:~ i 1h nitpsiiwww.psaontine.itsl.con/psaoniine/panDetallsAppEntr/2appINo~GO411120048.appITYPe=Fat ww-ttpstwrw:psa0nine.utitsl.com/psaonline/panDetallsAppEntr/?appINo=GO41112084&appfTYpe=RE BDoorlBlock No. _éame of Promises/Building/Village:- [Road/StreewLane!Post Office:- (AreaiLocality/Taluka/Sub-Division:- [Town/City/District:- [State/Union Territory:~ ‘Address for Communication: {ESIDENCE "ASWAN39@GMAIL.COM i2. Please Mention your AADHAAR lso9191097776 {3:Source of Income | Bostness/Profession code Il [14. Full Name, address of the Representative Assessee, who Is assessable rs0n, whose particulars have been given in colmns 1 to 13. under the Income Tax Act in respect of the [sur [Lest Name:- DEVE idle Name:- Name:- NIRO |FlatiDooriBlock No.- ‘GULAB SAHNI ‘of Premises/Bullding/Vilage: NIT ‘Office: x faluka/Sub-Division:= Jes-PuPRI Samana —~[Ssies Toran BAR wooo} 15. UWe have enclosed “AADHAAR Card issued by UIDAI (In Copy) as Proof of Identity , Card issued by UIDAI (In Copy) as Proof of Address and AADHAAR Card issued by (in Copy) _as Proof of DOB. iS. YWe CHANDA KUMARI .the applicant. the capacity of HIMSELFIHERSELF do hereby declare what is stated above is true to the best of my/our information and belief. BISHANPUR ‘mtpsuten-pssonineutt|com/psaoriine!panDetailsAppEntry2appiNo=GO4'1112004..appITypeFaem at RE EA, RANTS TNT £10. Gulab Sane, samhauit werd 17 ‘seaman, crane Kumar Fem 008 | 01/01/2007 ORR / FEMALE exon monnpplication Acknowledg Tecoved 85 107.007 (not es) om 'SHT CHANDA KUMART Agpcation No/Coupon Wo v-cosis12004 Name a5 te print on PAN card CHANDA KUMARE ‘ender: Fema Date of Brevtnorpratin 01/01/2007 6041112094 Fatners name: ucas sane Aadhaaraumber 22001-02776 _ (MENTIONED, MATCHED) Name a per Aaaar: CHANDA KUMARE Appcan’s Contac ett 6261767030 CCommuricaton Address RESIDENCE Residence Stat: amar orice Sate: Not Mentioned Prot of en AADHAAR Card tasued by UIDAE (In Copy) roo of Address: ‘AADHAAR Card issued by UIDAS (In Copy) Proof Doe: ‘AADHAAR Card issued by UIDAI (In Copy) Date of Reet 20/01/2021 Mose OF Pancard oth physical PAN Card and PAN. AADHAAR MATCHED USING DEMOGRAPHIC DETAILS- WILL BE LINKED WIT Page Sitanagny) ANMITRA ONLINE SERVICE PRIVATE LIMITED- PRAMOD PASWAN RAMPUR PACHASI PUPRE SITAMARHT Centre Contact Detais:_7070741401 / PRAMODPASWAN39OGMAIL.COM ‘To know your PAN Application status, you may vis our website: Mipy//nwwoilinicom ‘As per instruction from Income Tax [mauthorized agency's agent may visit you for your identity and address Department, verification ax the documents withthe PAN form. You are to ack etter /ID card from te’ per shiney 00 ih te Pa apa ou fe roptated te ak authorization eri caRent ‘Applicant's Copy "