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Form 49A

Under section 139A of the Income-Tax Act, 1961

PAN Application Acknowledgment Receipt For Form 49A


( Physical Application
)

Received Rs. 107.00/-


(incl of
SHRI NEHRU
KALAIYARASAN
taxes) from
Application No./Coupon No. U-A056828757
Name to be printed on PAN
NEHRU
card
Gender MALE
Date of Birth/Incorporation 28/08/1985
Father's Name KALAIYARASAN
Aadhaar Number/EID
xxxx-xxxx-2453 (MENTIONED, MATCHED)*
Number
Name as per Aadhaar NEHRU
Applicant's Contact details 9710925150 / [email protected]
Communication Address RESIDENCE
Residence State TAMIL NADU
Proof of Identity AADHAAR Card issued by UIDAI (In Copy)
Consumer Gas connection card or book or piped gas
Proof of Address
bill not more than 3 months old (In Copy)
Proof of DOB AADHAAR Card issued by UIDAI (In Copy)
Date of Receipt 17/07/2022 01:47:07
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 2198134825430625 / PY0076217760
Payment Date 17/07/2022 01:48:46
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.

PAN Service Center Code


R S GOWSAL
 272776730018
PAN Service Center Name R (Sign/Stamp)
S GOWSAL Received for submission to UTIITSL

Centre Contact Details: null


/null
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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