8/7/2021

PAN Application Acknowledgment Receipt For Form 49A

( Physical Application
)

Received Rs. 107.00/-

(incl of
KUMARI RIYA
GUPTA
taxes) from
Application No./Coupon No. U-A041571008
Name to be printed on PAN
RIYA GUPTA
card
Gender FEMALE
Date of Birth/Incorporation 16/05/2006
Father's Name PAPPU LAL
Aadhaar Number/EID Number xxxx-xxxx-9930 (MENTIONED, MATCHED)*
Name as per Aadhaar RIYA GUPTA
Applicant's Contact details 9801213587 / blockfatehpur2020@gmail.com
Communication Address RESIDENCE
Residence State BIHAR
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 02/08/2021 12:01:25
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 1214120426714473 / PY0052609896
Payment Date 02/08/2021 12:04:18
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.

PAN Service Center Code

442737720019
 442737720019
PAN Service Center Name (Sign/Stamp)
442737720019 Received for submission to UTIITSL
Centre Contact Details: null
/null
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.

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