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    1622471014084 s Bica 20210531000037037797

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    860039700000541_form

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    1622471014084 s Bica 20210531000037037797

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    26 views10 pages

    Form

    Uploaded by

    MONISH NAYAR
    1622471014084 s Bica 20210531000037037797

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    ‘Copy to be kept with applicator Tax Invoice cum of PAN Application , ecient N~860096700000541 ate 6 ay 20et Catagory iran rh oo ‘Applicant's Name THREEM MUCTICARE HOSPITAL 7 | ene on care [THRGEM WALTICARE HOSPITAL Father's Mame, ‘ot menitoned 5 ‘Mothee’s Nara net mentions = Date of Bir may e003 [Communication Address State [MADHYA PRADESH (23) ‘Telephone’ Nobile [covosoraect Banal [SHUSHPALBSagaNAR COM Proot of Kdentity [Parmer Ouac Proof of Address Parner Oved Proof of DOB [na om aha WSL nanan ann ink PANGaS dw RE Sto Cry Sa Lad Rape nucnlure seqres 30008 AEE HOSANOABAD ROAD MSROO HZ TotaliRewnded OF) 2107.00 OSTA TAAACHZONRN 8 ‘GW: UrzsconHipespLcossed2 | SAC : soasts ‘This ise computer genersiad receil and does nol reaure snare. ‘rine PARMA 2 ; FORT NO. 9% Application for Allotment of Permanent Account Number [lo tne case of incian Gittzens/Indian Companies/Entties incorporated in India ‘Unincorporated entities formed intial ‘See Fue 114 Assessing officer (AQ code) ‘area coe ‘AOtype | Range code Aone. 3. Have you aver been knewn By any other name? ver ly) Ne (plovae tek es applcabie) 4 Gender (for individual applicants onty) Mate Femae [| Transgencer {please tick as appiicabie) 5 Daly of Bthiperporao/AgreementParinerip or rst Die! Formation of Body ol ndiduals © ataciton of Parnone te} [ols] [2tof=ir © Sih an ne pvr a ou ea Pyar PAN Dy tarhing he oe ot yout meer ny? Weal —| Molin hn pte {iy please fn mate's parte Knthe appropiate space proved Below Fatvere Name ‘Sxcent whare mother aa single parent snd PAN 's applied by furnishing the name of mother only) Loa Rene (Oana TT i First Name I wateneme Te Mothers Nene (ptonal excel wharemahar inal parent and PAN Ia apie by Walang he nos af other only) unat Name /sumame [~[_| [_] i a ms igs te] Firs Narre {CCP eT ea etl ares Nite Name [ rt TTT T Sect nonw ol ome or maar wT you ay hw We nid ov PR card (eet oe 5) Fathersrame [| ater ame (Pees ik os appeal) (ir case ro eon a prone then PAN card ibe lntued wih fae? name except whem moter isa singe paren and ou wish 0 ep fr ‘PAN by furnishing name of the mother ony) 7 peereee Residence Adeross Fat Room (Doo Bloke neo Prone But tage oad Bet /LanaPoat fe ‘re ocala S-Di ow ty Di State / Uric Tato. L Mantiva rade St ‘tic Address ane doen ft! Roo cor Blok No ase of rane ‘Bung! Voge oad Steet LarePos feo b t t Ara oct Thal Sab-Ohion i t “oan yn re Stale / Union Terrtory Pinca !Zip code County Name 4 Aderess for Communication 9 Telephone Number & Email 1D details Courtryssde —_Area/STD Code (Please tick as applicable) 7) Goverment i ewes tirdsundrtcestomty —[T]compary SE Frarneranp siosuton ot Perens Ta Body of nda Local Autry ars iat Pract [7] Ltd Untty Parner 11 Registration Number (for company, firms, LLPs etc.) TI Ls ‘Zin Cave of person, whole required te quote Andheor numberThe Enrolment Oot Aadhaar ‘orm as per section 138AA Plans martion your AADHAAR ruber sted) \ AAOHAAR runber ent aloo, pase mtn he onrament Dot Anan apc om I ileT TT, Nana at ptr AADHAAR ltrcard ofa pre Enon Of Anchaa apes ore Satu 1 13 Source of income: Please select, |y“| as appicaple ‘Salary x Gaing Income from House property 14 Ropresontative Ascosson (RA) Income from Business (Profession Business/Protession coce: Ful name, address of he Representative Assessee, whe is asseasitle under the Income Tax Actin respect of the person, whose particulars have ‘been given in the column 1-13. Full Name (Full expanded name: initials are not permitted) Fees win ta [7] scartnaio [Jeti emt. Last Name! Suman Firt Name ‘Middle Namo Agdrans Flat (Room / Door Bock No, Name of Premises / Bulldng/ Vilage Road / Street Lane/Post Ofice ‘Area! Locality | Talukat Sub- Division “Town / City / District Stata (Union Teritory Pincode peepee if RE STA PSP WWe have enclosed ‘a3 prool of address and 1 proof of idantty, [Paiasip Sak] ‘25proaf of date of bith, [Pease refer to te insiructions (as spectied in Rule 114 of LT; Rules, 1862) tor list of mancatary cated doaumerts 1a be submited 8s eppica:l) (Annee A, Annexure 8 & Annenure C are i be used whorever aoptcablel 1 we SUB HAN BAL]. tho applicant nine capacty of [_P avs Sao dsheraby declare that what slated above i ust tha bast ef my/our informaten ard bala oa Place: MoM ¥ ¥ ¥ ¥ fol si2is Tal po (214. ible] ‘ at ‘Signature [Left Thur impression of_ Applicant irside the box) areata] , Mea are TRCTME TAN DEPARTMENT : GOVT. oF ESDEA H ¥ seul Paes ale = FEXPP6784L SwuBhaM PAL | . @URESH PA, | Registration and Stamp Department. Madhya Pradesh \ Certificate of Stamp Duty E-Stainp Details Seis a E-Stamp Code 91010518052021006037 Total E-Samp Amouat 2000 ‘ Govt, Stamp Duty (Rs.) ‘2000 ‘Municipality Duty (Rs.) 0 Janpad Duty (Rs.) ° Upkar Amount (Rs.) 0 Exempiad Amouni(Rs.) 0 E-Samp Type NON-JUDICIAL liste Date & Time 18/05/2021 15:57:05 Service Provider or Issuer Details RAKESH SAXENA/SP010341709201300255 ‘SP/SRO/DRO/HO Denils EWS G-3, SUKHSAGARD PHASE-4, NEAR PEOPLES MOLL. _HLZAIR BHOPAL Deed Details at Deed Type Partnership Deed tnstriment ‘where such shace of coniritution is in excess of Rs. 50,000.~ Two pewwent of the shares Contributed, subject to a minimum of rupees two thousand and a maximum of rupees ten thousand. Explanation ~ where such share of contribution is brought by way of immovable Property and cash, clauses (b) and (¢) doth shall apply. rrr | Purpose j First Perty Details SS Namo Dr. ASHISH VERMA S/O D/O W/0 C/O M.D. VERMA _ Address ©-93, SARVADHARMA COLONY, KOLAR ROAD BHOPAL BHOPAL Modhya Pradesh INDIA Number of Persons 3 Second Panty Details». : Nh, Name Dr, JASWANT VISHWAKARMA S/O D/O W/O C/O B.S. VISHWAKARMA, Address H.NO. 27, SHIV NAGAR KAROND BHOPAL BHOPAL Madhya Pradesh INDIA. Number of Persons 3 Digitally signed by RAKESH ‘SAXENA Date: 2021.05.18 15:57:07 Ist eee: o195180s202 004997 E=STAMP CODE NO RS 2000 ATTACHED DEED OF PARTNERSHIP THIS DEED OF A PARTNERSHIP IS EXECUTED BETWEEN THE FOLLOWING PARTIES TODAY ON 15" DAY OF MAY 2021. 4) Dr, ASHISH VERMA S/o M.D. VERMA (PAN-AQIPV2618K) aged about 37 Years, Resident of C-93, SARVADHARMA COLONY,KOLAR ROAD BHOPAL IV.P.452042 . Hereinalter referred ‘to as the FIRST PARTY, the same would include his legal hairs. AND 2) Dr, SEEMA DIWAR D/o SHRI PRAKASH CHANDRA DIWAR (PAN-CBTPD9SB0)) aged about 29 Years, Resident of 138 TEKAPAR GADHI BEHIND H.P.P SCHOOL GAIRATGANI RAISEN M.P. 464884, Hereinafter referred to as the SECOND PARTY, the same would include his legal heirs AND 3) Mr. GULAB RAJPUT S/o MUNSHI LAL (PAN-GCEPS68SSK) aged about 32 Years, Resident Of H.NO. 16, GRAM CHATHOLA, PIPAL KHEDI BHOPAL M.P.463106 . Hereinafter referred to as the THIRD PARTY, the same would include his legal heirs. AND 4) ) Dr. JASWANT VISHWAKARMA S/o B.S. VISHWAKARMA (PAN-AFHPV9756l) aged about 39 Years, Resident of H.NO, 27, SHIV NAGAR KAROND BHOPAL IV.P. 462038-

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