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This document is a PAN Application Acknowledgment Receipt for SMT Madiga Sivamma, confirming the receipt of Rs. 107.00 for her application. It includes personal details such as her date of birth, father's name, and contact information, along with the proof of identity and address. The application will be processed for both physical and e-PAN cards, and an authorized agent may visit for verification as per Income Tax Department instructions.

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95339o5353
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25 views1 page

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This document is a PAN Application Acknowledgment Receipt for SMT Madiga Sivamma, confirming the receipt of Rs. 107.00 for her application. It includes personal details such as her date of birth, father's name, and contact information, along with the proof of identity and address. The application will be processed for both physical and e-PAN cards, and an authorized agent may visit for verification as per Income Tax Department instructions.

Uploaded by

95339o5353
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PAN Application Acknowledgment Receipt For Form 49A


( Physical Application )

Received Rs. 107.00/- (incl of taxes) from SMT MADIGA SIVAMMA


Application No./Coupon No. U-A103663843
Name to be printed on PAN card MADIGA SIVAMMA
Gender FEMALE
Date of Birth/Incorporation 01/01/1983
Father's Name LALEPPA
Aadhaar Number/EID Number xxxx-xxxx-7910 (MENTIONED, MATCHED)*
Name as per Aadhaar MADIGA SIVAMMA
Applicant's Contact details 9642508027 / 95339O5353@GMAIL.COM
Communication Address RESIDENCE
Residence State ANDHRA PRADESH
Proof of Identity AADHAAR Card issued by UIDAI (In Copy)
Proof of Address VOTER CARD
Proof of DOB AADHAAR Card issued by UIDAI (In Copy)
Date of Receipt 23/01/2025 12:39:53
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 4364183926079413 / PY0146337574
Payment Date 23/01/2025 12:39:53
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.

PAN Service Center Code 642776240011 POLICE IMRAN


PAN Service Center Name POLICE (Sign/Stamp)
IMRAN Received for submission to UTIITSL
Centre Contact Details:
policeimran7@gmail.com /9533905353
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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