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24 views1 page

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Uploaded by

directorsrk007
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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 MOHAMMED ZULFIQUAR ALI KHAN
Application No./Coupon No.: U-Q016936999
PAN Number: xxxxxx607C
MOHAMMED ZULFIQUAR
Name as to be printed on PAN card:
ALI KHAN
Gender MALE
Date of Birth/Incorporation 05/03/1986
MOHAMMED KHADER ALI
Father's Name:
KHAN
Aadhaar Number/EID Number: xxxx-xxxx-9250 (MENTIONED,
MATCHED)*
Name as per Aadhaar: MOHDAMMED ZULFIQUAR ALI KHAN
Applicant's Contact details: 9441215873/[email protected]
Communication Address: RESIDENCE
RESIDENCE State: TELANGANA
Proof of Identity: AADHAAR Card issued by UIDAI (In Copy)
Father's Name Proof: Matriculation certificate (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: 21/11/2024 01:29:49
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: 4326012526723067 / PY0144055562
Payment Date: 21/11/2024
Application accepted with documentary proofs
Father's Name.
for changes/correction in PAN record details for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code: 371763240019 SHANAWAZ
(Sign/Stamp)
PAN Service Center Name: SHANAWAZ
Received for submission to UTIITSL
Center Contact Details: [email protected] / 8096425411
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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