AN Application Acknowledgement Receipt (Form 49A) Received Rs-107-00/> (indo tx) rom: ‘SHRI SINGARAPU SANYASAYA Application No./Coupen No. u-coss290¢32 Name as to be printed on PAN care SINGARAPU SANVASAYA Gender: MALE Date of Bitryincorporation 01/06/1991 Fathers Name: ‘SINGARAPU KONDABABU ‘adhasr number: woocena0-4S56 (MENTIONED, MATCHED)* Name as per Aachaar: SINGARAPU SANYASAYA ‘Applicant's Contact detals: 19391143459 / TPDPAN@GMAIL.COM Communication Address: RESIDENCE Residence State: ANDHRA PRADESH Office State: Not Mentioned Proof of identity [AADHAAR Card issued by UIDAI (In Copy) Proot of Address: [AADHAAR Card issued by UIDAT (In Copy) Proof of 208: [AADHAAR Card issued by UIDAT (In Copy) Date of Recent 36/09/2022 Mode OF Pancard ‘Goth physical PAN Card and e-PAN AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN [SWAROOPA184675) BITS PANINDIA- SWAROOPA PADEROO. (Sign/stamp) entre Contact Betas: 7780460693 / SMAROOPA DAYANA@GMAIL.COM Recevee for submission to UTITSL TTo know your PAN Application status, you may visit our website: htp://www.utlitsLcom. [As per instruction from Income Tax Department, an authorized agency's agent may visit you for your identity and address verification, as ber the documents submitted ny yom with the PAN application form. You are requested to ask authorization letter/1D card from the agent before verification. Your cooperation ix solicited inthis regard. PAN Collection Centre Copy ut from here ct from heree Form No. 494 Application for Allotment of Permanent Account Number {tn the case of indian Citizens/indian Companies/Entites incorporated in India’ Unincorporated entities formed in naa) ‘See Rule 114 “mina hase flow te acnper yg tne eae bt ng pee seston ster Woon) = S0 COIIOUR > ‘Area code ‘AOtype | Range code | _AONa. — ee Ale TRI [wo 31s Tas ee 5 Samy boyy We hereby request that a permanent account number be alloted to me/us. ia goa tor mec pon aT 4 Fullame Ful expanded met be mentioned mpeg in poo of eit Brinda donut: sae not pried) aad sta [7]anstestlo [sin [ome [rumen [Juan Last Name Sumeme aINyIalsielyiAl | FirstName [SLING ATRIAL e|U Made Nome EEE 2 Abbreviations of the above namo, 2s you would like, tobe printed onthe PAN card LInl@l6ielal elu! Pele Re 3 Have you ever boon known by any other name? Yes | [No {please tick as applicable) Wryes, len gue ht ote are Please select ie, [¥]as applicable Shi st. Kumar [Jas LastName /Sumame Fintan ie Nae 4 Gander (tor navidval appicans on) [fale []Fomale[] Tanagonder—_(plnse ck ee sppicabe) $Date o BithincororsiowAgreementPermarahip or rst Deed Formation of Body of Individuals or Assocation of Persons ony enh Yor olt} [elé) Hilaisi 6 Details of Paronts (applicable only for individual applicants) S| ‘Water maa ia Gre pret acd you wii apply for PAN by fishing the ame your mothe ny? ves [vo ease ot appl) |e, please fillin mother's name in the appropriate space provide below. Father's Name (Mendatory except wivere mothe Is a single parent and PAN Is applied by furnishing the name of mother only) LastName Sumame ie Fiat Name i Mile Name ‘Mother's Name (optional except whore mothor Isa single parent and PAN ie applied by furnishing the nam of mother only] {Last Name / Sumamre Fit Name ‘idee Name ‘Selesttne name of ether father or mother which you may ike to be prirted on PAN card (Select ane only) Fathers name Motersname (Please fick as applicable) (incase no option i provided then PAN cart wil be issued with father's name except where mother is Dy fumishing name ofthe mother cn). single parent and you Wish to apply for PAN, 7 Address Residence Address, Flat Room Door! oc No. oe Pal ‘Name of Premises / Bulcing / Vilage opie Joli Nit AS Road / Steet /Lane/Post Office VI U. LLY i) ‘ec Loelty Tela Sub Dison A lu] iN To iy Oct Us lelklala] ele ftin! ‘Stole Union Terry node Zi code County Name ANDURA PRADES A STATO Ay TOT 6:‘fice Adress Name of tice Flat Room / Door / lock No. Name of Premises / uking /ilage Road Sweet /Lane/Pcst ce ‘ve Loclty aka Sub Division Town I Cty / Distt State / Union Terry {8 Adress for Communication Otce (Please tek an appicabie) {Telephone Number & Ema 10 details Couey cose Aea/ST0 Cage aot Ena av HA 10 stits of appiant Page select state, [Y]asepoeable 1) covenment ind nd unaided omiy [_] company Parner Fm [L sociton of Persons rst 80nd Loca Auonty seve Juda Persons] utes Listy Pacnren + Regltration Number lor company fms, LU se) ° [ ‘12 In case of a person, who ls required to quote Aadhaar number or the Enrolment IO of Asshear application form as per section 139 AA Please mention your AADHAAR number it afoted) [=]3]3 11 [UGH [4-15]516] IEAADHAAR ruber ct ltd, please mention te enralment 1D of aches apc Name 9 por AADHAAR lee cara a5 Behe Eciven 0 o Asda appacion form ‘Sit UL TSl6wiq [OTSA [A 13 Source otincome 7 Presse select |v] 26 applicable Salary ‘capa Going Income rom Business Profession BusinessProfssion code {For Cade: Refer instructions) || Income tom Other sources Income frm House property [7 Wo income ‘44 Representative Assossoo (RA) i Fullname, ederess of the Representative Assessee, who is assessibie under the Income Tax Ac in respect othe person, whose parculars have been gven in he column 1-13, Full Name (Full expanded name : inials are not permitted) Please select te, [V7] appicabie, st sm Last Name /Sumame First Name Middle Name Address Flat! Room / Door / Block No, Name of Premises / Bulg / Vilage Road / Steet /LaneIPost Offce ‘Area! Locality Taluka/ Sub- Dison “Town! City Diet ‘State / Union Taritry Paced 18 a ea Cee [Penoe rote nace pected Fle Ts TTT RUSTE) tol macy ce documents be sbi apa [annenre A, Anmecre 8 & Annexure C tet be used wherever appcable) 16 We SIN@GEOPU_SBOYBSERA |]. te appa niecapacy ot [ FIAT CLE] HER EH ine SINGREARY Se NALCIE 2. ttc nc for) ORDERS § Sonny ode 4a DOM ‘ipaize Let Thumb impression Uc lol 2ob fh} onlcart (rae >) Date Not: par pons of Seton 2728 of he neome Taxa 851, panaly of 10,000 can be loved on poneeson of mae ar one PAN| as Sea ae