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14/12/2023, 11:37 about:blank

PAN Application Acknowledgment Receipt (For


Changes Or Correction in PAN Data)
( Physical Application )
Received Rs. 107.00/- (incl of taxes) from: SHRI ABBAS MIYYA SHAIK
Application No./Coupon No.: U-Q012361172
PAN Number: xxxxxx016H
Name as to be printed on PAN card: SHAIK ABBAS MIYYA
Gender MALE
Date of Birth/Incorporation 01/10/1970
Father's Name: KHASIM SAHEB SHAIK
Aadhaar Number/EID Number: xxxx-xxxx-0179 (MENTIONED,
MATCHED)*
Name as per Aadhaar: SHAIK ABBAS MIYYA
Applicant's Contact details: 9963645229/meesevandk2@gmail.com
Communication Address: RESIDENCE
RESIDENCE State: ANDHRA PRADESH
Proof of Identity: AADHAAR Card issued by UIDAI (In Copy)
Proof of Address: AADHAAR Card issued by UIDAI (In Copy)
Proof of DOB: AADHAAR Card issued by UIDAI (In Copy)
PAN Proof: Copy of PAN Card
Date of Application: 14/12/2023 11:38:26
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: 3348113526754236 / PY0118689008
Payment Date: 14/12/2023
Application accepted with documentary proofs
Name . DOB .
for changes/correction in PAN record details for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code: 517433610015 SHAIK ABDUL RASOOL
PAN Service Center Name: SHAIK ABDUL (Sign/Stamp)
RASOOL Received for submission to UTIITSL
Center Contact Details: rasool.urs@gmail.com / 9640539997
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.

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