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Copy to be kept with application

Tax Invoice cum Acknowledgement receipt of PAN Application (Change Request)


Tax Invoice cum N - 592419700023502 Date- 23 Mar 2022
Acknowledgement Number

Category INDIVIDUAL GSTIN of Applicant

Applicant's Name OM KHARE Existing PAN LILPK1651F

Name on Card OM KHARE

Father’s Name YOGESH KUMAR KHARE

Mother’s Name Not mentioned

Date of Birth/ Incorporation 17 Nov 2003 Communication Address State MADHYA PRADESH (23)

Telephone/ Mobile Number 91-7987499868 E-mail ID MURARIBHAI2525@GMAIL.COM

Proof of Identity AADHAAR Card issued by the Unique Identification Authority of India

Proof of Address AADHAAR Card issued by the Unique Identification Authority of India

Proof of DOB AADHAAR Card issued by the Unique Identification Authority of India

PANs Surrendered - - - -
On behalf of NSDL e-Governance Infrastructure Limited (PAN-Centre Managed by NSDL)
PAN application fee `91.00
Branch ID: 59241
Altruist Technologies Private Limited
CGST 9% `0.00
SHOP NO 420, KILLAI NAKA INFRONT OF NEEL KAMAL GARDERN WARD NO 9 GALI NO 4 DAMOH MADHYA SGST 9% `0.00
PRADESH 470661
IGST 18% `16.38
Total(Rounded Off) `107.00
GSTIN:27AAACN2082N1Z8 CIN: U72900MH1995PLC095642 SAC : 998319
This is a computer generated receipt and does not require signature.
Online PAAM 1.2

Applicant's Copy
Tax Invoice cum Acknowledgement receipt of PAN Application (Change Request)
Tax Invoice cum
N - 592419700023502 Date- 23 Mar 2022
Acknowledgement Number

Category INDIVIDUAL GSTIN of Applicant

Applicant's Name OM KHARE Existing PAN LILPK1651F

Name on Card OM KHARE

Father’s Name YOGESH KUMAR KHARE

Mother’s Name Not mentioned

Date of Birth/ Incorporation 17 Nov 2003 Communication Address State MADHYA PRADESH (23)

Telephone/ Mobile Number 91-7987499868 E-mail ID MURARIBHAI2525@GMAIL.COM

Proof of Identity AADHAAR Card issued by the Unique Identification Authority of India

Proof of Address AADHAAR Card issued by the Unique Identification Authority of India

Proof of DOB AADHAAR Card issued by the Unique Identification Authority of India

PANs Surrendered - - - -
On behalf of NSDL e-Governance Infrastructure Limited (PAN-Centre Managed by NSDL)
PAN application fee `91.00
SHOP NO 420, KILLAI NAKA INFRONT OF NEEL KAMAL GARDERN WARD NO 9 GALI NO 4 DAMOH MADHYA PRADESH 470661
CGST 9% `0.00
SGST 9% `0.00
Note:- “As per instruction from Income Tax Department, an authorized agencies’ agent may visit you for your identity and address IGST 18% `16.38
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.” Total(Rounded Off) `107.00
GSTIN:27AAACN2082N1Z8 CIN: U72900MH1995PLC095642 SAC : 998319
For queries and information please contact: PAN/TDS Call Centers
020 - 27218080 020 - 27218081 tininfo@nsdl.co.in @NSDLeGovernance

Income Tax PAN Services Unit (Managed by NSDL)


5th floor, Mantri Sterling, Plot No. 341, Survey No. 997/8, Model Colony, Near Deep Bungalow Chowk, Pune – 411 016
If mobile no. is mentioned then you will receive SMS on status of your application.
You may track the status of your application using SMS facility – Type NSDLPAN<space>15 digit acknowledgement no. and send it to 57575 or by visiting our website

This is a computer generated receipt and does not require signature. Online PAAM 1.2

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