Application Number: U-N005476820

Application Number Bar Code Payment Reference: WSM21291185206 Inward Number Bar Code
Payment Date: 2022-07-20 23:50:18.0 Rs.101.00/-
Application Source: UTIITSL WEB-SITE Application Date: 20/07/2022
User Id: INTERNET USER User Name: INTERNET USER
PAN CARD MODE : Both physical PAN and e-PAN Card Application Mode : Digital Application (DSC)

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S I N G H
M E H U L
K U M A R

M E H U L K U M A R S I N G H

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Whether mother is a single parent and you wish to apply for PAN by furnishing the name of your mother only? Yes No ✘ (please tick as applicable)
If yes, please fill in mother’s name in the appropriate space provided below.
Fathers’s Name (Mandatory except where mother is a single parent and PAN is applied by furnishing the name of mother only)
S I N G H
R A J E S H
K U M A R
Mothers’s Name (optional except where mother is a single parent and PAN is applied by furnishing the name of mother only)

(In case no option is provided then PAN card will be issued with father’s name except where mother is a single parent and you wish to apply for
PAN by furnishing name of the mother only) ✘

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S N E H A L A Y A
I N D A
I N D A , P I R B A B A
W E S T M I D N A P O R E

W E S T B E N G A L 7 2 1 3 0 5 I N D I A
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mehulonline04@gmail.com

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M E H U L K U M A R S I N G H

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S I N G H
R A J E S H
K U M A R

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S N E H A L A Y A
I N D A
I N D A , P I R B A B A
W E S T M I D N A P O R E
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AADHAAR Card issued by UIDAI (In AADHAAR Card issued by UIDAI (In Copy)
Copy)
AADHAAR Card issued by UIDAI (In Copy)

MEHUL KUMAR SINGH HIMSELF/HERSELF

KHARAGPUR

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 Enrolment No.: 0653/49408/00734
To
Mehul Kumar Singh
S/O: Rajesh Kumar Singh
INDA ,PIRBABA
Kharagpur (m)
Paschim Medinipur West Bengal - 721305
8250837832

9423 2651 2172

VID : 9 1 8 7 7 0 8 0 4 5 5 7 9 6 3 3

Mehul Kumar Singh Addr ess:

Download Date: 20/07/2022

Date of Birth/DOB: 04/05/2006 S/O: Rajesh Kumar Singh, INDA ,PIRBABA,

Issue Date: 24/01/2017

Kharagpur (m), Paschim Medinipur,

Male/ MALE West Bengal - 721305

9423 2651 2172 9423 2651 2172

VID : 9 1 8 7 7 0 8 0 4 5 5 7 9 6 3 3 VID : 9 1 8 7 7 0 8 0 4 5 5 7 9 6 3 3
 Enrolment No.: 0653/49408/00734
To
Mehul Kumar Singh
S/O: Rajesh Kumar Singh
INDA ,PIRBABA
Kharagpur (m)
Paschim Medinipur West Bengal - 721305
8250837832

9423 2651 2172

VID : 9 1 8 7 7 0 8 0 4 5 5 7 9 6 3 3

Mehul Kumar Singh Addr ess:

Download Date: 20/07/2022

Date of Birth/DOB: 04/05/2006 S/O: Rajesh Kumar Singh, INDA ,PIRBABA,

Issue Date: 24/01/2017

Kharagpur (m), Paschim Medinipur,

Male/ MALE West Bengal - 721305

9423 2651 2172 9423 2651 2172

VID : 9 1 8 7 7 0 8 0 4 5 5 7 9 6 3 3 VID : 9 1 8 7 7 0 8 0 4 5 5 7 9 6 3 3
 Enrolment No.: 0653/49408/00734
To
Mehul Kumar Singh
S/O: Rajesh Kumar Singh
INDA ,PIRBABA
Kharagpur (m)
Paschim Medinipur West Bengal - 721305
8250837832

9423 2651 2172

VID : 9 1 8 7 7 0 8 0 4 5 5 7 9 6 3 3

Mehul Kumar Singh Addr ess:

Download Date: 20/07/2022

Date of Birth/DOB: 04/05/2006 S/O: Rajesh Kumar Singh, INDA ,PIRBABA,

Issue Date: 24/01/2017

Kharagpur (m), Paschim Medinipur,

Male/ MALE West Bengal - 721305

9423 2651 2172 9423 2651 2172

VID : 9 1 8 7 7 0 8 0 4 5 5 7 9 6 3 3 VID : 9 1 8 7 7 0 8 0 4 5 5 7 9 6 3 3