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PAN Application Acknowledgment Receipt (For

Changes Or Correction in PAN Data)
( Digital Application - Aadhaar based e-KYC [Otp] )
Received Rs. 106.90/- (incl of taxes) from: SHRI BINOD UPADHYAY
Application No./Coupon No.: U-Q011036286
PAN Number: xxxxxx055R
Name as to be printed on PAN card: BINOD UPADHYAY
Gender MALE
Date of Birth/Incorporation 15/04/1970
MON PRASAD
Father's Name:
UPADHYAY
xxxx-xxxx-3764 (MENTIONED,
Aadhaar Number/EID Number:
MATCHED)*
Name as per Aadhaar: BINOD UPADHYAY
Applicant's Contact details: 9954340287/nitientity@gmail.com
Communication Address: RESIDENCE
RESIDENCE State: ASSAM
Proof of Identity: AADHAAR Card issued by UIDAI (In Copy)
Father's Name Proof: Driving License (In Copy)
Proof of Address: AADHAAR Card issued by UIDAI (In Copy)
Proof of DOB: AADHAAR Card issued by UIDAI (In Copy)
PAN Proof: Copy of PAN Card
Date of Application: 27/08/2023 14:52:46
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: 3239143626388066 / PY0110131706
Payment Date: 27/08/2023
Application accepted with documentary proofs
for changes/correction in PAN record details Name . Father's Name.
for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code: 433777120010 433777120010
(Sign/Stamp)
PAN Service Center Name: 433777120010
Received for submission to UTIITSL
Center Contact Details: MAILME.VIKAZ@GMAIL.COM / 8822601602
To know your PAN Application status, you may visit our website: https://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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