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Acknowledgement For Request For New PAN Card Or/and Changes or Correction in PAN Data
Acknowledgement For Request For New PAN Card Or/and Changes or Correction in PAN Data
ACKNOWLEDGEMENT NUMBER:
Affix recent
photograph
(3.5cm x 2.5cm)
N-
881020220719063
Category
Individual
Permanent
Account No.
ANDPD2502L
Name
Affix recent
photograph
(3.5cm x 2.5cm)
Name to be
PIYUSH DUBE
printed on card
Father's Name
Date of Birth
09-12-1988
Address for
362
Communication
CLERK COLONY
INDORE - 452001
Madhya Pradesh
Other Address
Telephone No. 91 8180015289
Email ID
SAPFICO.PIYUSH09@GMAIL.COM
AADHAAR No.
Photo Mismatch
Signature Mismatch
Sex
PAN3:
PAN4:
Payment Mode
Credit Card: Your Payment of ` 107 against transaction number 401-1629351 has been successfully processed.
I/We, Piyush Dube the applicant, do hereby declare that what is stated above is true to the best of my/our information and belief.
The following documents are enclosed as:
Proof of Identity: Copy of passport
Proof of Address: Copy of passport
Proof of Date of birth: Copy of Passport
Proof of PAN: Copy of PAN card
Proof of PAN to be cancelled:
Date: 11-12-2015
Instructions:
1 The above-mentioned 15-digit acknowledgement number is a unique reference number for your application for 'Request for New
PAN Card or/and Changes or Correction in PAN Data'. Kindly quote this number for tracking the status of your application on
https://tin-nsdl.com or any queries relating thereto.
2 Save and print this acknowledgement.
3 Application fee and mode of payment: Payment favouring 'NSDL-PAN' can be made as follows:
Sr. No.
Address for
Communication
Amount payable
( )
Indian
107
Credit card / Debit card/ Net Banking / Demand Draft (DD) payable at Mumbai.
Foreign
989
Mode of payment
Please mention name of applicant and acknowledgement number on the reverse of DD.
4 Individual applicants affix your recent colour photograph (3.5 cm x 2.5 cm), sign the acknowledgement (inside the box provided
without touching the sides and in BLACK INK only) and enclose a Demand Draft (DD), if any, alongwith Proof of Identity, Proof of
Address and (Proof of Date of Birth - Indian citizens only) as specified in the application form.
5 Superscribe the envelope with 'APPLICATION FOR PAN - Acknowledgement Number' (e.g. 'APPLICATION FOR PAN 881010100000973').
6 Send the documents as specified in point no. 4 above to Income Tax PAN Services Unit, NSDL e-Governance Infrastructure
Limited, 5th floor, Mantri Sterling, Plot No. 341, Survey No. 997/8, Model Colony, Near Deep Bungalow Chowk, Pune -411016
Tel: 020-27218080; Fax: 020-27218081.
7 Your acknowledgement, Demand Draft if any, and proofs, should reach NSDL within 15 days from the date of online application.
8 Application will be processed only on receipt of relevant proofs and realisation of payment.
9 Applications without proof of PAN will be processed on a good effort basis - (as mentioned in guidelines).