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PAN Application Acknowledgment Receipt For Form 49A (Physical Application)

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PAN Application Acknowledgment Receipt For Form 49A


( Physical Application )

Received Rs. 107.00/- (incl of


SHRI JAGADISH
taxes) from
Application No./Coupon No. U-A043117585
Name to be printed on PAN
JAGADISH
card
Gender MALE
Date of Birth/Incorporation 24/04/1993
Father's Name CHIDANANDAPPA
Aadhaar Number/EID Number xxxx-xxxx-7197 (MENTIONED, MATCHED)*
Name as per Aadhaar JAGADISH
Applicant's Contact details 7349304481 / shamshavali83@gmail.com
Communication Address RESIDENCE
Residence State KARNATAKA
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 05/09/2021 04:00:34
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 1248160420786473 / PY0054907531
Payment Date 05/09/2021 04:04:07
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.

PAN Service Center Code


614723260018
614723260018
PAN Service Center Name (Sign/Stamp)
614723260018 Received for submission to UTIITSL
Centre Contact Details: null
/null
To know your PAN Application status, you may visit our website: 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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