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PAN Application Acknowledgment Receipt For Form 49A (Physical Application)

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PAN Application Acknowledgment Receipt For Form 49A


( Physical Application )

Received Rs. 107.00/- (incl of


SMT MAMATA SHAW
taxes) from
Application No./Coupon No. U-A077124749
Name to be printed on PAN card MAMATA SHAW
Gender FEMALE
Date of Birth/Incorporation 07/03/1989
Father's Name DAMANAUDU DANDAPAT
Aadhaar Number/EID Number xxxx-xxxx-0207 (MENTIONED, MATCHED)*
Name as per Aadhaar MAMATA SHAW
Applicant's Contact details 8210435660 / indranikuila47@gmail.com
Communication Address RESIDENCE
Residence State JHARKHAND
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 28/07/2023 11:07:12
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 3209110920226032 / PY0106859102
Payment Date 28/07/2023 11:09:47
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.

PAN Service Center Code


PRADIP KUMAR KUILA
712179290012
PAN Service Center Name (Sign/Stamp)
PRADIP KUMAR KUILA Received for submission to UTIITSL
Centre Contact Details:
PRADIP027@GMAIL.COM
/9431348920
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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