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PAN Application Acknowledgment Receipt For Form 49A
( Physical Application )
SHRI ARJUN
Received Rs. 107.00/- (incl of taxes) from
MARNDI
Application No./Coupon No. U-A100516572
Name to be printed on PAN card ARJUN MARNDI
Gender MALE
Date of Birth/Incorporation 05/07/2004
Father's Name KALIA MARNDI
Aadhaar Number/EID Number xxxx-xxxx-5506 (MENTIONED, MATCHED)*
Name as per Aadhaar ARJUN MARNDI
7978367715 /
Applicant's Contact details
bankimprasadsajpada@gmail.com
Communication Address RESIDENCE
Residence State ODISHA
AADHAAR Card issued by UIDAI (In
Proof of Identity
Copy)
AADHAAR Card issued by UIDAI (In
Proof of Address
Copy)
AADHAAR Card issued by UIDAI (In
Proof of DOB
Copy)
Date of Receipt 25/09/2024 08:18:58
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 4269081523331603 / PY0141306243
Payment Date 25/09/2024 08:15:01
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
PAN Service Center Code 752053410016 BANKIM PRASAD SEJPADA
PAN Service Center Name BANKIM PRASAD (Sign/Stamp)
SEJPADA Received for submission to UTIITSL
Centre Contact Details:
BANKIMPRASADSEJPADA1972@GMAIL.COM
/9437373919
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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