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PAN Service Center Code: 324173720012


PAN Service Center Name:
PAN Application Acknowledgement Receipt(For Change/Correction)or(CSF)
Received Rs.107.00/- (incl.of taxes)
SHRI MOHD ASLAM
from:
Application No./Coupon No.: Q004248248
PAN: BRQPA6285H
Name as to be printed on PAN card: MOHD ASLAM
Gender: Male
Date of Birth/Incorporation: 01/01/1968
Aadhaar number: xxxx-xxxx-1994 (MENTIONED, MATCHED)*
Applicant's Contact details: 9307741132
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)
Proof of PAN: Copy of PAN Card
Date of Receipt: 11/09/2021
PAN Card Mode: Both e-PAN and physical PAN Card**

* AADHAAR matched using Demographic details - will be linked with your PAN.
** Physical PAN card will be delivered to applicant`s address.

(Sign/Stamp)
Received for submission to UTIITSL

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