FORM CSF
Under section 139A of the Income-Tax Act, 1961
Application Acknowledgment Receipt For CSF
( Physical Application )
Received Rs. 107.00/- (incl of
SHRI NITIN SINGH
taxes) from:
Application No./Coupon No.: U-Q020962616
Name as to be printed on PAN
NITIN SINGH
card:
Gender MALE
Date of Birth/Incorporation 01/12/1999
Father's Name: JASVEER SINGH
Aadhaar Number/EID Number: xxxxxxxx2723
Name as per Aadhaar: NITIN SINGH
Applicant's Contact details: 7409151372
Communication Address: RESIDENCE
State: UTTAR PRADESH
Proof of Identity: Driving Licence Issued by Government (in Copy)
Domicile certificate issued by Government (In
Proof of Address:
Copy)
DOB Certificate Issued By Government (In
Proof of DOB:
Copy)
PAN Proof: Copy of PAN Card
Date of Application: 05/09/2025 18:33:22
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: BHD5LGH0VDW7YW
Payment Date: 03/09/2025 06:37:43
To know your PAN Application status, you may visit our website: http://www.utiitsl.com (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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