2/8/24, 10:01 PM Ack_R005926615
PAN Application Acknowledgment Receipt For Form 49A
( Physical Application )
Received Rs. 107.00/- (incl of taxes) from SHRI RAMKHILAVAN
Application No./Coupon No. U-R005926615
Name to be printed on PAN card RAMKHILAVAN
Gender MALE
Date of Birth/Incorporation 17/12/1976
Father's Name KHORBAHARA
Aadhaar Number/EID Number xxxx-xxxx-7580 (MENTIONED, MATCHED)*
Name as per Aadhaar RAMKHILAVAN
Applicant's Contact details 9993549115 / majidrazza1992@gmail.com
Communication Address RESIDENCE
Residence State CHHATTISGARH
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 08/02/2024 09:51:12
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No PY0009198047
Payment Date 08/02/2024 09:52:47
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
PAN Service Center Code CDCWCIV-4527057373 CSC SAMADHAN
(Sign/Stamp)
PAN Service Center Name CSC SAMADHAN Received for submission to UTIITSL
Centre Contact Details: 7067057373
/YBLMITRA@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.
PAN Collection Centre Copy
cut from here cut from here
PAN Application Acknowledgment Receipt For Form 49A
( Physical Application )
Received Rs. 107.00/- (incl of taxes) from SHRI RAMKHILAVAN
Application No./Coupon No. U-R005926615
Name to be printed on PAN card RAMKHILAVAN
Gender MALE
Date of Birth/Incorporation 17/12/1976
Father's Name KHORBAHARA
Aadhaar Number/EID Number xxxx-xxxx-7580 (MENTIONED, MATCHED)*
Name as per Aadhaar RAMKHILAVAN
Applicant's Contact details 9993549115 / majidrazza1992@gmail.com
Communication Address RESIDENCE
Residence State CHHATTISGARH
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 08/02/2024 09:51:12
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No PY0009198047
Payment Date 08/02/2024 09:52:47
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
PAN Service Center Code CDCWCIV-4527057373 CSC SAMADHAN
(Sign/Stamp)
PAN Service Center Name CSC SAMADHAN Received for submission to UTIITSL
Centre Contact Details: 7067057373
/YBLMITRA@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.
Applicant's Copy
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