19/06/2025, 12:13 about:blank
PAN Application Acknowledgment Receipt For Form 49A
( Physical Application )
Received Rs. 107.00/- (incl of
SMT NEETU
taxes) from
Application No./Coupon No. U-A109543608
Name to be printed on PAN card NEETU
Gender FEMALE
Date of Birth/Incorporation 01/01/1995
Father's Name SHER SINGH
Aadhaar Number/EID Number xxxx-xxxx-4437 (MENTIONED, MATCHED)*
Name as per Aadhaar NEETU
Applicant's Contact details 8394839133 / cs3538530@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 19/06/2025 12:13:04
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 5170121128099827 / PY0156455207
Payment Date 19/06/2025 12:11:28
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
PAN Service Center Code
256214240011
256214240011
PAN Service Center Name (Sign/Stamp)
256214240011 Received for submission to UTIITSL
Centre Contact Details:
cs3538530@GMAIL.COM
/6396132712
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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