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PAN Application Acknowledgment Receipt (For Changes Or Correction in PAN

Data)
( Physical Application )
Received Rs. 107.00/- (incl of taxes) from: KUMARI KANCHAN KUMARI
Application No./Coupon No.: U-K001021379
PAN Number: xxxxxx459H
Name as to be printed on PAN card: KANCHAN KUMARI
Gender FEMALE
Date of Birth/Incorporation 18/08/2003
Father's Name: ASHOK KUMAR
xxxx-xxxx-8719 (MENTIONED,
Aadhaar Number/EID Number:
MATCHED)*
Name as per Aadhaar: KANCHAN KUMARI
Applicant's Contact details: 9625879062/pancard1099@gmail.com
Communication Address: RESIDENCE
RESIDENCE State: DELHI
Proof of Identity: AADHAAR Card issued by UIDAI (In Copy)
Father's Name Proof: Matriculation certificate (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: 10/08/2023 18:36:50
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: PY0003785025
Payment Date: 10/08/2023
Application accepted with documentary proofs for changes/correction in PAN record
Father's Name.
details for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code: MINDAOP-PAY179757128 TIWARI BBK
(Sign/Stamp)
PAN Service Center Name: TIWARI BBK
Received for submission to UTIITSL
Center Contact Details: / parmodk155@gmail.com
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.
PAN Collection Centre Copy
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PAN Application Acknowledgment Receipt (For Changes Or Correction in PAN


Data)
( Physical Application )
Received Rs. 107.00/- (incl of taxes) from: KUMARI KANCHAN KUMARI
Application No./Coupon No.: U-K001021379
PAN Number: xxxxxx459H
Name as to be printed on PAN card: KANCHAN KUMARI
Gender FEMALE
Date of Birth/Incorporation 18/08/2003
Father's Name: ASHOK KUMAR
xxxx-xxxx-8719 (MENTIONED,
Aadhaar Number/EID Number:
MATCHED)*
Name as per Aadhaar: KANCHAN KUMARI
Applicant's Contact details: 9625879062/pancard1099@gmail.com
Communication Address: RESIDENCE
RESIDENCE State: DELHI
Proof of Identity: AADHAAR Card issued by UIDAI (In Copy)
Father's Name Proof: Matriculation certificate (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: 10/08/2023 18:36:50
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: PY0003785025
Payment Date: 10/08/2023
Application accepted with documentary proofs for changes/correction in PAN record
Father's Name.
details for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code: MINDAOP-PAY179757128 TIWARI BBK
(Sign/Stamp)
PAN Service Center Name: TIWARI BBK
Received for submission to UTIITSL
Center Contact Details: / parmodk155@gmail.com
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.
Applicant's Copy

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