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Hasan Ali

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Firefox https://www.myutiitsl.

com/PANform/forms/csf/redirectSuccess

PAN Application Acknowledgment Receipt (For


Changes Or Correction in PAN Data)
( Digital Application - Aadhaar based e-KYC [Otp] )
Received Rs. 190.90/- (incl of taxes) from: SHRI HASAN ALI
Application No./Coupon No.: U-Q013248267
PAN Number: xxxxxx611B
Name as to be printed on PAN card: HASAN ALI
Gender MALE
Date of Birth/Incorporation 30/04/1997
Father's Name: MAJIBUR RAHMAN
xxxx-xxxx-9870 (MENTIONED,
Aadhaar Number/EID Number:
MATCHED)*
Name as per Aadhaar: HASAN ALI
Applicant's Contact details: 8638752766/zvtv99@gmail.com
Communication Address: RESIDENCE
RESIDENCE State: ASSAM
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: 16/02/2024 11:47:31
Mode of PAN Card: e-PAN only, No Physical PAN Card
Payment Ref No: 4047114223238474 / PY0124136749
Payment Date: 16/02/2024
Application accepted with documentary proofs
for changes/correction in PAN record details
for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code: 271562410018 271562410018
(Sign/Stamp)
PAN Service Center Name: 271562410018
Received for submission to UTIITSL
Center Contact Details: zvtv99@gmail.com /
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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