24/01/2025, 10:25                                                                                   PANform
Form 49A
                                                Under section 139A of the Income-Tax Act, 1961
                                                                    PAN Application Acknowledgment Receipt For Form 49A
                                                                                    ( Physical Application )
                Received Rs. 107.00/- (incl of taxes) from               SMT SUBALAKSHMI RAMAR
                Application No./Coupon No.                               U-A104590728
                Name to be printed on PAN card                           SUBALAKSHMI RAMAR
                Gender                                                   FEMALE
                Date of Birth/Incorporation                              03/06/2003
                Father's Name                                            BALAMURUGAN
                Aadhaar Number/EID Number                                xxxx-xxxx-5632 (MENTIONED, MATCHED)*
                Name as per Aadhaar                                      SUBALAKSHMI RAMAR
                Applicant's Contact details                              6384942037 / KARTHIDHANYASRI822@GMAIL.COM
                Communication Address                                    RESIDENCE
                Residence State                                          TAMIL NADU
                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                                          23/01/2025 07:55:23
                Mode of Pancard                                          Both physical PAN and e-PAN Card
                Payment Ref No                                           5023195221067382 / PY0147992817
                Payment Date                                             23/01/2025 07:52:05
                *AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
                PAN Service Center Code 267611150012                                                                                        267611150012
                                                                                                                                             (Sign/Stamp)
                PAN Service Center Name 267611150012
                                                                                                                        Received for submission to UTIITSL
                Centre Contact Details:
                karthidhanyasri822@gmail.com
                /8056653108
                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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