FORM CSF

Under section 139A of the Income-Tax Act, 1961

Application Acknowledgment Receipt For CSF

( Digital Application

Received Rs. 106.90/- (incl of

SMT ARUNA SRI CHENNAMSETTI
taxes) from:
Application No./Coupon No.: U-Q014715859
Name as to be printed on PAN
CHENNAMSETTI ARUNA SRI
card:
Gender FEMALE
Date of Birth/Incorporation 06/07/2000
Father's Name: YEDUKONDALU PASUPULETI
Aadhaar Number/EID Number: xxxxxxxx6394 (MENTIONED, MATCHED)*
Name as per Aadhaar: CHENNAMSETTI ARUNA SRI
Applicant's Contact details: 6305205646
Communication Address: 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: 08/06/2024 10:57:44
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: ZHD52053749423
Payment Date: 08/06/2024 10:59:01
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
To know your PAN Application status, you may visit our website: http://www.utiitsl.com (http://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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