2/27/24, 8:27 AM about:blank

PAN Application Acknowledgment Receipt (For

Changes Or Correction in PAN Data)
( Physical Application )
Received Rs. 107.00/- (incl of taxes) from: SMT USHA AGGARWAL
Application No./Coupon No.: U-Q013386930
PAN Number: xxxxxx041E
Name as to be printed on PAN card: USHA AGGARWAL
Gender FEMALE
Date of Birth/Incorporation 20/12/1955
Father's Name: HARIOM AGARWAL
Aadhaar Number/EID Number: xxxx-xxxx-6917 (MENTIONED,
MATCHED)*
Name as per Aadhaar: USHA AGGARWAL
Applicant's Contact details: 7060002775/girishkumartoyota@gmail.com
Communication Address: RESIDENCE
RESIDENCE State: UTTAR PRADESH
Proof of Identity: AADHAAR Card issued by UIDAI (In Copy)
Other document mentioning fathers name (In
Father's Name Proof:
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: 27/02/2024 08:20:35
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: 777416716 / PY0125021458
Payment Date: 27/02/2024
Application accepted with documentary proofs for
Father's Name. DOB .
changes/correction in PAN record details for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code: 9902857622995539 KUMARI VANDANA
(Sign/Stamp)
PAN Service Center Name: KUMARI VANDANA
Received for submission to UTIITSL
Center Contact Details: VANDANAGOYALTVS9761@GMAIL.COM / 9761321817
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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