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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 SHRI MYSORE CHALUVAIH RAVICHANDRA PRAKASH
Application No./Coupon No. U-Q015062537
PAN Number: XXXXXX233A
Name to be printed on PAN card M C RAVICHANDRA PRAKASH
Gender MALE
Date of Birth/Incorporation 15/12/1972
Father's Name CHELUVAIAH
Aadhaar Number/EID Number xxxx-xxxx-7635 (MENTIONED, MATCHED)*
Name as per Aadhaar M C RAVICHANDRA PRAKASH
Applicant's Contact details 9008932005 / [email protected]
Communication Address RESIDENCE
RESIDENCE State KARNATAKA
Proof of Identity AADHAAR Card issued by UIDAI (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 02/07/2024 12:44:59
Mode of PAN Card Both physical PAN and e-PAN Card
Payment Ref No 1306859 / PY0134293186
Payment Date 02/07/2024
Application accepted with documentary proofs for
Name . Gender .
changes/correction in PAN record details for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
PAN Service Center Code AGT67661 SYED TOUHID
(Sign/Stamp)
PAN Service Center Name SYED TOUHID
Received for submission to UTIITSL
Centre Contact Details: [email protected]
/8880116257
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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