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PAN Application Acknowledgement Receipt (Form 49A) Tacaved Re 107007 (nda axes) rom SMT KORRA LALITHA KUMAR ‘Application No Coupon No: v-cosss10640 Name a8 tobe printed cr PAN car KORRA LALITHA KUMARI Gender FEMALE Date of sirtncarporaton 14/09/1975 Father's Name LANKELA KONDABABU Aadnane number: seowsiooa-3844 (MENTIONED, MATCHED)* Name as per Aahar: KORRALALITHA KUMARI Applicants Contact detas: 19490619286 / TPDPAN@GMAIL.COM Communication Adress RESIDENCE Residence Stat: ANDHRA PRADESH fmce State: Not Mentioned root of int AADHAAR Card issued by UIDAX (In Copy) Proof of Adare [AADHAAR Card issued by UIDAI (In Copy) roof of D8 [AADHAAR Card iesued by UIDAI (In Copy) ate of Receot 18/09/2022 Moe OF Pancard ‘Both physical PAN Card and e-PAN AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN. {SWAROOPA164675) BITS PANINDIA- SWAROOPR PADEROO {Sign/Stamp) Contre Contact Seals: 7780480655 | SWAROOPA OAYANA@GMAIL COM Kec tor iomisson to UTITSL + “To now your PAN Application status, you may vai our webnite:Nipy//www ulits-com, Ser eelicctmestasa tained byyestrnatke PAN epceion fre votre resueted tack eahorionion terD card om the [Afcnt before verification, Your cooperation ir soieted in this regard PAN Collection Centre Copy cut from here ut from here «rut Name (Ful expanded name to be mestoned ss appesing in roo ot entyscares documents ar nt permis «Sin ae, cl Meals Name fre ander Yorindvidua apptcons ont) [| Manw [ff L (Glee tick as appieabs) 5 Sane teennrctngremertPamersh or ne Formas Mt Boy tine 2 mace Pens | ews met ene Pea a Aopliaion fr Alotment of Pore Acaount Number | gai case of nslan Ciiensncian Cormpanies/es ncoreorate In nda! Unincorporates entities formed in india | ‘as Rule 18 U-GO6sxto64-0 |_Asscosingofcer (AO code} [Abype _|__ Range code ROWS. fALerAT [wl Ts ts hereby request hata permanent scout numba be alias o mei. ve Sew necessary partoulas tense sect tts, | y/] 3s applicable ne / Sumas Fas. Name Mido Name wwe yeu aver Bown known by any other name? Pease soioct tte, v’|a8 appicadis ast Name / Sumas dia spar as epeshi eb ni re, ganna ame oferta] No fom The arpmpsate apace paeiee bow ToC Peace ondary except where mete” teaeingle parent nd FAN is aplid by furvihing the name of mother ery) - soueeuentent rs =“ Last Nene /Sumame [KOM IOTA Prat Nene LAKE Nidse Narne Mother's Neme (opt Last Nan Surare To basal Fist Nave TELE | mocevems = FLT TTL | To baled ts vies yo thy ik 1 be pried on PAN are {__] Motiers name (Paase ek as appscane) 1 povided then PAN cae vil be isguec with fhe’ same axcopt where math a single parent and you wish to op fe ame of ie mathe: CnY} ANDHRA PRADES E fice aes Nene or Fiat | Room / Door Bios No Neme ofPremions /Sulding! Yaga Road / Stat /LanePost Offoe ‘ce Locally! aia’ Sub Di-on Tow | Cay Dirt ‘sce / Union Terror @_Aderese for Commanation (A rmiserce =] omnes (Prose tikes appicasy | 8 Telephone Number & Emel 1D detiis Country cade __Area/STD Code “Telephone / Motile mmber aa “ho Suge eral ‘meena Posse hae, Toot [ion aaa [C]inavendisostamy [Jearnany ert Fe [prceniatenctrerae | Cine Boop of nls Leal Ahoy 11. Reglstvoton Number for company fre, LLP) ride Perens] Lnte Utiy Parmar L Ei Tl ‘2m Gap ofa parson, whole required to cle Agar nurborThe Enrolment WD of Aap form a pr section 130A Please mettion your SADHAAR number tloted) [YI 1TH] (SI2IS1B},L G TFAADHAAR cumber isnt ted, pease mention te vomentiD cl Asche’ apteation fom | I CLL | L [Name as per AADHAAR latiercard or as per the Enrolment ID of Aedhaayerploation fon Ree CNT) KOMS/RE] I Lr | | “Coors HHH teen oiioniion Please aolet, [¥/] as appleabie 1 satay 7 noore rom suaers/Pritaon —sierasaPromasen coe [[] trove: Retrnsuctona| _] ame rom Ober soces TL treme to Heme roodty (recone | ‘4 Representative Assessee (RA) Ful naine edérees lhe Representative Assessee, who |e anaeuabia uner ths Income Tax At In respentof the pereon, whose pariciars have bear gvenin the eclumn 1-13 Ful Name (Ful exper le name: tals ae not pari) Please setecttte,[/]as appicebte [7 ]smi [}smt [7 ]kuman [Jas Last Nae Siar FirstRiome Middle Name Aasror8 Fat Roam / Door | Bleck No I Name of Premises /Suiléing /Valage I i ‘Road / Siret i LaneiPost Offce { i T re / Local /Talukal Su- Dron { oun / Cty Distt i ‘Stale / Union Tertony 15;Documents submited root bdanthy (POR Peat of eee (POA ind Prost of Dae tty (008) | wie reve encased [ARBHAAR CARO |_| sseroteriseniy [AAD HAAR CARD 2s proof of aderess ord | AADHAAR CRED. 7) me prot of date of bith {Please refer fo th netuctons (es apeteg nue 994 of Rule {foronae A Aman 8 & Amon Cre be ite wham ocx] 46 vive ORR GALITHA KUMDRI]. the spntica. in the capscty of [AIM SEL [Hee SELF do hereby declare that whatie stated above jee to the ct of mylour information ane bei — | Kur ee a8 | [ 4682) for lit of mandstorycartind documents tobe submitiec os snscabie} Date ‘Signature Let Thumb impression oi_Anooe BBvc9 ony / Enrollment NO. 2020/06797102790 ne er eto can RORRALALTHA KUMAR! 8a i UINUWULURU PAOERU MANDAL 8 visuals imal a (ese va Gf sets Paces esne8 3 NOEL & vos soa Vour Pal at No. 9217 8233 3814 — earé ~ — Hy, Spar rua un B 5c8. vote Faces Fate: LANKELA KONDABABU 9G 38; 208: saero7s Sirens 9217 8233 3814 eget — — _ y 1¢ HEESS

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