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CSF Application Acknowledgment Receipt

This document is an acknowledgment receipt for a digital PAN application submitted by Smt. Minati Dash, confirming the payment of Rs. 106.90 and detailing her personal information, including her Aadhaar and PAN details. The application was submitted on March 11, 2025, and both physical and e-PAN cards are requested. It also mentions that an authorized agency may verify her identity and address as part of the application process.

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Amrit Mohanty
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47 views1 page

CSF Application Acknowledgment Receipt

This document is an acknowledgment receipt for a digital PAN application submitted by Smt. Minati Dash, confirming the payment of Rs. 106.90 and detailing her personal information, including her Aadhaar and PAN details. The application was submitted on March 11, 2025, and both physical and e-PAN cards are requested. It also mentions that an authorized agency may verify her identity and address as part of the application process.

Uploaded by

Amrit Mohanty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Application Acknowledgment Receipt For CSF

( Digital Application - eSign Mode )

Received Rs. 106.90/- (incl of taxes) from: SMT MINATI DASH


Application No./Coupon No.: U-Q018554930
Name as to be printed on PAN card: MINATI DASH
Gender FEMALE
Date of Birth/Incorporation 26/06/1972
Father's Name: GOURANGA CHARAN DASH
Aadhaar Number/EID Number: xxxxxxxx1728 (MENTIONED, MATCHED)*
Name as per Aadhaar: MINATI DASH
Applicant's Contact details: 9348776116
Communication Address: RESIDENCE
State: ODISHA
Proof of Identity: AADHAAR Card issued by UIDAI (In Copy)
Proof of Address: Bank Account Statement not more than 3 months old (In Copy)
Proof of DOB: AADHAAR Card issued by UIDAI (In Copy)
PAN Proof: Copy of PAN Card
Date of Application: 11/03/2025 14:05:20
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: BHD1RSS0EZWKRQ
Payment Date: 11/03/2025 02:13:21
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
To know your PAN Application status, you may visit our website: http://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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