5/0525, 2:38 PM PANform
Form 49A
Under section 139A of the Income-Tax Act, 1961
PAN Application Acknowledgment Receipt For Form 49A
( Physical Application )
SHRI UTKARSH GUPTA
Application No./Coupon No. U-A107473182
Name to be printed on PAN card ADVIKA TRIPATHI
Gender MALE
Date of Birth/Incorporation 07/06/2006
Father's Name SATISH KUMAR GUPTA
Aadhaar Number/EID Number xxxx-xxxx-4369 (MENTIONED, MATCHED)*
Name as per Aadhaar UTKARSH GUPTA
Applicant's Contact details 8318422482 / Prashantcafe2@gmail.com
Communication Address RESIDENCE
Residence State UTTAR PRADESH
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 05/05/2025 02:37:43
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 5105193423826491 / PY0153001995
Payment Date 05/05/2025 02:34:09
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
PAN Service Center Code
NISHANT ONLINE SERVICES
714764320016
PAN Service Center Name (Sign/Stamp)
NISHANT ONLINE SERVICES Received for submission to UTIITSL
Centre Contact Details:
NIISHAANT01@GMAIL.COM
/6386940397
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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