3/2/23, 11:40 AM PANform
Form 49A
Under section 139A of the Income-Tax Act, 1961
PAN Application Acknowledgment Receipt For Form 49A
( Digital Application - Aadhaar based e-KYC [Otp] )
Received Rs. 106.90/- (incl of
SHRI BANDEPPA
taxes) from
Application No./Coupon No. U-A067788902
Name to be printed on PAN card BANDEPPA
Gender MALE
Date of Birth/Incorporation 01/01/1957
Father's Name MADAPPA
Aadhaar Number/EID Number xxxx-xxxx-0884 (MENTIONED, MATCHED)*
Name as per Aadhaar BANDEPPA
Applicant's Contact details 9108720346 / sriseva2022@gmail.com
Communication Address RESIDENCE
Residence State KARNATAKA
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 02/03/2023 11:29:13
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 3061113123069274 / PY0091982436
Payment Date 02/03/2023 11:31:27
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
PAN Service Center Code
RAJENDRA
645331230010
PAN Service Center Name (Sign/Stamp)
RAJENDRA Received for submission to UTIITSL
Centre Contact Details:
DPRAJENDRA87@GMAIL.COM
/9739042639
To know your PAN Application status, you m ay visit our w ebsite: https://w w w .utiitsl.com .
As per instruction from Incom e Tax Departm ent, an authorized agency's agent m ay visit you for your
identity and address verification as per the docum ents subm itted by you w ith 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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