26/11/2024, 12:46 Ack_R010303639
PAN Application Acknowledgment Receipt For Form 49A
( Physical Application )
Received Rs. 107.00/- (incl of taxes) from SHRI SUNIL GAUTAM
Application No./Coupon No. U-R010303639
Name to be printed on PAN card SUNIL GAUTAM
Gender MALE
Date of Birth/Incorporation 05/10/1998
Father's Name BRAJPAL
Name as per Aadhaar
Applicant's Contact details 8754874587 / alamgirhusen516516@gmail.com
Communication Address RESIDENCE
Residence State ASSAM
Proof of Identity Voters ID card (In Copy)
Proof of Address Voters ID card (In Copy)
Proof of DOB Voters ID card (In Copy)
Date of Receipt 26/11/2024 12:46:10
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No PY0015974201
Payment Date 26/11/2024 12:44:12
PAN Service Center Code RHSOBAO-
ALAMGIR4695 MD ALAMGIR HUSEN
(Sign/Stamp)
PAN Service Center Name MD ALAMGIR HUSEN Received for submission to UTIITSL
Centre Contact Details:
/134CYBERCAFE@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 SUNIL GAUTAM
Application No./Coupon No. U-R010303639
Name to be printed on PAN card SUNIL GAUTAM
Gender MALE
Date of Birth/Incorporation 05/10/1998
Father's Name BRAJPAL
Name as per Aadhaar
Applicant's Contact details 8754874587 / alamgirhusen516516@gmail.com
Communication Address RESIDENCE
Residence State ASSAM
Proof of Identity Voters ID card (In Copy)
Proof of Address Voters ID card (In Copy)
Proof of DOB Voters ID card (In Copy)
Date of Receipt 26/11/2024 12:46:10
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No PY0015974201
Payment Date 26/11/2024 12:44:12
PAN Service Center Code RHSOBAO-
ALAMGIR4695 MD ALAMGIR HUSEN
(Sign/Stamp)
PAN Service Center Name MD ALAMGIR HUSEN Received for submission to UTIITSL
Centre Contact Details:
/134CYBERCAFE@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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