Form 49A
Under section 139A of the Income-Tax Act, 1961
PAN Application Acknowledgment Receipt For Form 49A
( Physical Application )
Received Rs. 107.00/- (incl of SHRI PANNEERSELVAM
taxes) from KARUPPAIYA
Application No./Coupon No. U-A110440579
PANNEERSELVAM
Name to be printed on PAN card
KARUPPAIYA
Gender MALE
Date of Birth/Incorporation 20/02/1970
Father's Name KARUPPAIYA
Aadhaar Number/EID Number xxxx-xxxx-5413 (MENTIONED, MATCHED)*
Name as per Aadhaar PANNEERSELVAM KARUPPAIYA
Applicant's Contact details 6374567972 / karikalanmuthu7@gmail.com
Communication Address RESIDENCE
Residence State TAMIL NADU
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 14/07/2025 02:04:57
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 5195135921164911 / PY0157966653
Payment Date 14/07/2025 01:59:04
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
PAN Service Center Code
PRABAKARAN
671161320017
PAN Service Center Name (Sign/Stamp)
PRABAKARAN Received for submission to UTIITSL
Centre Contact Details:
PEHS310323@YAHOO.COM
/8220907895
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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