Clos = Closure allection Commission CORICOR! CR = Credit (S8+linked MOD alc) Savings Bank Accouat CUP No 86856009065, Account fo 20187137307, Customer Kage: Mr. NANIKANDAN SID/W//0: VERKATACEALAN AdGresssROUL NO. 1418U04, [1 YR B TECH IT GOVT COLLEGE OF TECHNOLOGY THADAGAK ROAD, COIMBATORE - 641019 Phone: Euail: 0.0.8. (If Minor): woe. PLS Won. Reg. Ho. : GOVT COLL OF TECHNOLOG ‘TAADAGAN ROAD Phone 2432657 Bnail:sbi.l0432@sbi.co.in Branch Code: 10492 Date of Issues15/09/2015 19/09/2015 5631179 10432 IFSC: 56140010432 State Bank of India Branch Manager Help Line = 1800-11-22-77 1800 425 3800), NAME AND ADDRESS 0} Musirt CANARA BANK Canara Bank,% Tel No-4326: Email ID:ct ACCOUNT DETAILS AR Name(s) ‘ERE Occupation RM Address: ‘mee ang 8 Customer ID Gre Gtr A FOP A/c Opened on ‘arene a ar Name of Nominee armies Bt Stare eat Nomination Registration No. 1122 Fax No: 34@icanarabank & sea geil | ‘se. Account No es port we ‘ NEFLTV AMAT HP oa 85812768 ‘3H. Date of Birth H-MAY-2 BRM te For Canara Bank 0 feat / yet officer / ManagerCraex Art ACA Uraat INCOMETAX DEPARTMENT ¢ GOVT. OF INDI MANIKANDAN V VENKATACHALAM 15/10/1996 Permanent Account Number CSAPM1086J vind ’ : Signature \ AIn case this card is lost / found, kindly inform / return to : Income Tax PAN Services Unit, UTITSL Plot No. 3, Sector 11, CBD Belapur, Navi Mumbai - 400 614. ward} ah/aaw yan gaa at/citere : arren t7 Sarge, UTITSL wre a: 2, Aaa 99, Hata aemy, wal Gas-voo 9x,"gains Wont sams Ou tisrevl ’ Manikandan Venkatachalam } Sims: Oussrave j Father : VENKATACHALAM : Upsseuprt / Year of Birth: 1996 < ware / Male@idu s “L. S{MLUWINET <9} en emTLiED UNIQUE IDENTIFICATION AUTHORITY OF INDI aon: Address: S/O Carmiastreevid, eroisr S/O Venkatachalam, 5/172-1, O¢s55y 5551, 5/172-1, BOwrdur 4 HepFv, Ap, CHEKKADINATHAM, AHF, POwnrbuty, NEELIYAMPATTI POST, DgsAorvusirel, sOipsr@, MUSIRI, Anjalam, 621208 Neeliampatti, Tiruchirappalli, Tamil Nadu, 621208 a bs = ‘ 1947 help @uidai.gov.in www.uidai.gov.in P.O. Box No.1947, 1200 180 1947 Bengaluru-560 001