2/19/25, 2:57 PM PANform
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 ABHISHEK
taxes) from
Application No./Coupon No. U-A105579556
Name to be printed on PAN card ABHISHEK
Gender MALE
Date of Birth/Incorporation 01/01/2006
Father's Name BHAGWAN DASS
Aadhaar Number/EID Number xxxx-xxxx-4118 (MENTIONED, MATCHED)*
Name as per Aadhaar ABHISHEK
Applicant's Contact details 9872313341 / samar.always83@gmail.com
Communication Address RESIDENCE
Residence State PUNJAB
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 19/02/2025 02:55:57
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 5050145228386293 / PY0149782668
Payment Date 19/02/2025 02:51:52
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
PAN Service Center Code
RAM SAROOP
223211430010
PAN Service Center Name RAM (Sign/Stamp)
SAROOP Received for submission to UTIITSL
Centre Contact Details:
ramsaroop198@gmail.com
/8728030591
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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