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This document is a PAN Application Acknowledgment Receipt for Shri Moulali Ediga, confirming the receipt of Rs. 106.90 for changes or corrections in PAN data. The application includes details such as the applicant's name, PAN number, Aadhaar number, and proofs of identity and address. It also mentions that an authorized agent may visit for verification as per the Income Tax Department's instructions.

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10 views1 page

Redirect Success

This document is a PAN Application Acknowledgment Receipt for Shri Moulali Ediga, confirming the receipt of Rs. 106.90 for changes or corrections in PAN data. The application includes details such as the applicant's name, PAN number, Aadhaar number, and proofs of identity and address. It also mentions that an authorized agent may visit for verification as per the Income Tax Department's instructions.

Uploaded by

b7160523
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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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) from: SHRI MOULALI EDIGA
Application No./Coupon No.: U-Q020403607
PAN Number: xxxxxx618G
Name as to be printed on PAN card: EDIGA MOULALI
Gender MALE
Date of Birth/Incorporation 15/07/1988
Father's Name: MOULALI EDIGA
xxxx-xxxx-3695 (MENTIONED,
Aadhaar Number/EID Number:
MATCHED)*
Name as per Aadhaar: EDIGA MOULALI
Applicant's Contact details: 9959857586/moulaligoud11@gmail.com
Communication Address: RESIDENCE
RESIDENCE State: ANDHRA PRADESH
Proof of Identity: AADHAAR Card issued by UIDAI (In Copy)
Father's Name Proof: Matriculation certificate (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: 28/07/2025 16:31:25
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: 5209162825707862 / PY0158822700
Payment Date: 28/07/2025
Application accepted with documentary proofs
for changes/correction in PAN record details Name . Father's Name. DOB . Gender .
for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code: 444577170011 444577170011
(Sign/Stamp)
PAN Service Center Name: 444577170011
Received for submission to UTIITSL
Center Contact Details: MOULALIGOUD11@GMAIL.COM / 9959857586
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.

1 of 1 28-07-2025, 16:32

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