12/1/2020

PAN Application Acknowledgement Receipt (Form 49A)

Received Rs.107.00/- (incl.of taxes) from: SMT ANNAPURNA ANIMIPILLI
Application No./Coupon No.: U-034549695
Name as to be printed on PAN card: ANIMIPILLI ANNAPURNA
Gender: FEMALE
Date of Birth/Incorporation: 01/01/1975
Father's Name: RAMULU KORIMILLI
Aadhaar number: xxxx-xxxx-6531 (MENTIONED, NOT MATCHED)*
Name as per Aadhaar: ANIMIPALLI ANNAPURNA
Applicant's Contact details: 8497932325 / PANCARDVIZAG@GMAIL.COM
Communication Address: RESIDENCE
Residence State: ANDHRA PRADESH
Office State: Not Mentioned
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: 01/12/2020
Mode Of Pancard: Both physical PAN Card and e-PAN
*AADHAAR not matched using Demographic details - will not be linked with PAN. (Biometric consent for authentication not given
by the applicant).
*This Application is being returned and will be accepted later again for processing, only after a successful Biometric
authentication of the applicant's AADHAAR at this Center or at any/nearest Branch Office of UTIITSL followed by re-submission of
the application at this Center only.
[CHARAN85144] BITS PANINDIA- CHARAN vizag (Sign/Stamp)
Centre Contact Details: 7799121084 / uknowmecharan3@gmail.com Received for submission to UTIITSL

To know your PAN Application status, you may visit our website: http://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.

PAN Collection Centre Copy

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PAN Application Acknowledgement Receipt (Form 49A)

Received Rs.107.00/- (incl.of taxes) from: SMT ANNAPURNA ANIMIPILLI
Application No./Coupon No.: U-034549695
Name as to be printed on PAN card: ANIMIPILLI ANNAPURNA
Gender: FEMALE
Date of Birth/Incorporation: 01/01/1975
Father's Name: RAMULU KORIMILLI
Aadhaar number: xxxx-xxxx-6531 (MENTIONED, NOT MATCHED)*
Name as per Aadhaar: ANIMIPALLI ANNAPURNA
Applicant's Contact details: 8497932325 / PANCARDVIZAG@GMAIL.COM
Communication Address: RESIDENCE
Residence State: ANDHRA PRADESH
Office State: Not Mentioned
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: 01/12/2020
Mode Of Pancard: Both physical PAN Card and e-PAN
*AADHAAR not matched using Demographic details - will not be linked with PAN. (Biometric consent for authentication not given
by the applicant).
*This Application is being returned and will be accepted later again for processing, only after a successful Biometric
authentication of the applicant's AADHAAR at this Center or at any/nearest Branch Office of UTIITSL followed by re-submission of
the application at this Center only.
[CHARAN85144] BITS PANINDIA- CHARAN vizag (Sign/Stamp)
Centre Contact Details: 7799121084 / uknowmecharan3@gmail.com Received for submission to UTIITSL

To know your PAN Application status, you may visit our website: http://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

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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.
Applicant's Copy

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