6/4/23, 3:13 PM about:blank
PAN Application Acknowledgment Receipt For Form 49A
( Physical Application )
Received Rs. 107.00/- (incl of SHRI SHUBHAM RAJESHBHAI
taxes) from BARAIYA
Application No./Coupon No. U-A073412991
Name to be printed on PAN card SHUBHAM RAJESHBHAI BARAIYA
Gender MALE
Date of Birth/Incorporation 30/08/2006
Father's Name RAJESHBHAI MADHUBHAI BARAIYA
Aadhaar Number/EID Number xxxx-xxxx-6169 (MENTIONED, MATCHED)*
Name as per Aadhaar BARAIYA SHUBHAM RAJESHBHAI
Applicant's Contact details 9313075597 / baraiyashubham11@[Link]
Communication Address RESIDENCE
Residence State GUJARAT
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 02/06/2023 [Link]
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 3153114322269572 / PY0101031760
Payment Date 02/06/2023 [Link]
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
PAN Service Center Code
OM MOBILE AND COMPUTER
216127750016
PAN Service Center Name OM (Sign/Stamp)
MOBILE AND COMPUTER Received for submission to UTIITSL
Centre Contact Details:
ommobile2555@[Link]
/8000252555
To know your PAN Application status, you may visit our website: [Link]
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
[Link] cooperation is solicited in this regard.
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