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PAN Application Acknowledgment Receipt For Form 49A

( Physical Application )

Received Rs. 107.00/- (incl of taxes)

SHRI KHOOB CHANDRA
from
Application No./Coupon No. U-A096309303
Name to be printed on PAN card KHOOB CHANDRA
Gender MALE
Date of Birth/Incorporation 22/08/2000
Father's Name AVADHESH
Aadhaar Number/EID Number xxxx-xxxx-2140 (MENTIONED, MATCHED)*
Name as per Aadhaar KHOOB CHANDRA
Applicant's Contact details 7982149227 / shiv9818036531@gmail.com
Communication Address RESIDENCE
Residence State UTTAR 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)
Date of Receipt 08/07/2024 08:51:14
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 4190205326502136 / PY0134956515
Payment Date 08/07/2024 08:53:43
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.

PAN Service Center Code

SHIVNARAYAN MANDAL
772574520025
PAN Service Center Name (Sign/Stamp)
SHIVNARAYAN MANDAL Received for submission to UTIITSL
Centre Contact Details:
BMSHIVNARAYAN88@GMAIL.COM
/9818036531
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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