PAN Application Acknowledgment Receipt (For
Changes Or Correction in PAN Data)
( Digital Application - Aadhaar based e-KYC [Otp]
)
Received Rs. 106.90/- (incl of taxes)
SHRI RAGBIR SINGH
from:
Application No./Coupon No.: U-Q017542083
PAN Number: xxxxxx781M
Name as to be printed on PAN card: RAGBIR SINGH
Gender MALE
Date of Birth/Incorporation 01/01/1953
Father's Name: GURNAM SINGH
xxxx-xxxx-2360 (MENTIONED,
Aadhaar Number/EID Number:
MATCHED)*
Name as per Aadhaar: RAGBIR SINGH
Applicant's Contact details: 8708136734/sampda.csc@gmail.com
Communication Address: RESIDENCE
RESIDENCE State: HARYANA
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)
PAN Proof: Copy of PAN Card
Date of Application: 01/01/2025 16:46:29
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: 5001125729156903 / PY0146470510
Payment Date: 01/01/2025
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code:
AMIT KUMAR
726331670015
PAN Service Center Name: AMIT (Sign/Stamp)
KUMAR Received for submission to UTIITSL
Center Contact Details: amitkumarsaroy@gmail.com / 9467118120
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.