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8/15/24, 6:03 PM about:blank

PAN Application Acknowledgment Receipt (For


Changes Or Correction in PAN Data)
( Physical Application )
Received Rs. 107.00/- (incl of taxes) from: SMT NISHA
Application No./Coupon No.: U-Q015776118
PAN Number: xxxxxx762Q
Name as to be printed on PAN card: NISHA
Gender FEMALE
Date of Birth/Incorporation 15/08/1996
Father's Name: RAGHUBIR
Aadhaar Number/EID Number: xxxx-xxxx-0411 (MENTIONED,
MATCHED)*
Name as per Aadhaar: NISHA
Applicant's Contact details: 8950252549/KAPILKALSAIN15@GMAIL.COM
Communication Address: RESIDENCE
RESIDENCE State: HARYANA
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: 15/08/2024 18:02:43
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: 4228175326619232 / PY0138288784
Payment Date: 15/08/2024
Application accepted with documentary proofs
Name . Father's Name. DOB . Gender .
for changes/correction in PAN record details for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code: 432551550019 KAPIL CSC KALANAUR
PAN Service Center Name: KAPIL CSC (Sign/Stamp)
KALANAUR Received for submission to UTIITSL
Center Contact Details: KAPILCSCKALANAUR@GMAIL.COM / 9466334970
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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