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  • fIROZA 1

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    SR Enterprises
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    1. This document is an application for a Permanent Account Number (PAN) card with key details about the applicant including name, date of birth, address, father's name, and contact information. 2. The applicant is Firoza Khatoon with details verified using their Aadhaar card issued by UIDAI. 3. Payment of Rs. 107 was made on December 16, 2023 for the physical PAN card application to be processed.

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    1. This document is an application for a Permanent Account Number (PAN) card with key details about the applicant including name, date of birth, address, father's name, and contact information. 2. The applicant is Firoza Khatoon with details verified using their Aadhaar card issued by UIDAI. 3. Payment of Rs. 107 was made on December 16, 2023 for the physical PAN card application to be processed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views3 pages

    fIROZA 1

    Uploaded by

    SR Enterprises
    1. This document is an application for a Permanent Account Number (PAN) card with key details about the applicant including name, date of birth, address, father's name, and contact information. 2. The applicant is Firoza Khatoon with details verified using their Aadhaar card issued by UIDAI. 3. Payment of Rs. 107 was made on December 16, 2023 for the physical PAN card application to be processed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    ApplicationNumber: A085349285

    ApplicationNumberBarCode 3350193820686952/PY0118926952
    PaymentReference:
    Reference: PY0118926952 InwardNumberBarCode
    PaymentDate: 16/12/2023Rs.107.00/-
    ApplicationSource: EWALLET- A - CSCE GOVERNANCE SERVICES INDIA LIMITED ApplicationDate:16/12/2023

    UserId:432175640013 UserName:

    PANCARDMODE:BothphysicalPANande
    PANCARDMODE:BothphysicalPANande-PANCard ApplicationMode:Physical
    ApplicationMode:PhysicalApplication

    P T N W 2 7 9 4

    ✔
    KHATOON FIROZA

    FIROZA KHATOON
    N

    13 10 1977

    WhethermotherisasingleparentandyouwishtoapplyforPANbyfurnishingthenameofyourmotheronly?Yes No✔(pleasetickasapplicable)
    Ifyes,pleasefillinmother’snameintheappropriatespaceprovidedbelow.
    Fathers’sName(Mandatoryexceptwheremotherisa singleparentandPANis appliedbyfurnishingthe nameofmotheronly)
    QURBA
    QURBAN
    MOHAMMAD
    MOHAMMA

    Mothers’s Name (optionalexceptwheremotheris a single parentandPANis


    parentandPANis appliedbyfurnishingthe name ofmotheronly)

    (IncasenooptionisprovidedthenPANcardwillbeissuedwithfather’snameexceptwheremotherisasingleparentandyouwishtoapply
    (IncasenooptionisprovidedthenPANcardwillbeissuedwithfather’snameexceptwheremotherisasingleparentandyouwishtoapplyfor
    PANbyfurnishingnameofthemotheronly) ✔

    W Z - 4 0 0 S . R I N S T ITUTE
    N A R A I N A V I L L A G E
    N A R A I N A

    SOUTH WEST DELH


    DELHI

    DELHI 110028 I ND I A
    ✔

    91 9582041017
    srenterprises1201@gmail.com

    66502450 665
    6656

    FIROZA KHATOON

    AADHAAR Card issued by AADHAARCardissuedbyUIDAI


    AADHAAR Card issued by UIDAI

    FIROZA KHATOON HIMSELF/HERSELF

    DELHI

    16122023

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