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A098441461

The document is an application for a PAN card with application number A098441461, submitted on 13/08/2024, with a payment of Rs.107.00. The applicant, Mukandi Lal, has chosen to apply using both physical and e-PAN modes and has provided personal details including the father's name, Tej Ram. The application was submitted through the EWALLET service of CSC E Governance Services India Limited.

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kumarbjp405
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35 views2 pages

A098441461

The document is an application for a PAN card with application number A098441461, submitted on 13/08/2024, with a payment of Rs.107.00. The applicant, Mukandi Lal, has chosen to apply using both physical and e-PAN modes and has provided personal details including the father's name, Tej Ram. The application was submitted through the EWALLET service of CSC E Governance Services India Limited.

Uploaded by

kumarbjp405
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 Number: A098441461

Application Number Bar Code 4226195024963197 / PY0138141872


Payment Reference: Inward Number Bar Code
Payment Date: 13/08/2024 Rs.107.00/-
Application Source: EWALLET - A - CSC E GOVERNANCE SERVICES INDIA LIMITED Application Date: 13/08/2024
User Id: 667562210015 User Name: 667562210015
PAN CARD MODE : Both physical PAN and e-PAN Card Application Mode : Physical Application

L K N W 7 1 4

✔
L A L
M U K A N D I

M U K A N D I L A L

0 1 0 2 1 9 5 6

Whether mother is a single parent and you wish to apply for PAN by furnishing the name of your mother only? Yes No ✔ (please tick as applicable)
If yes, please fill in mother’s name in the appropriate space provided below.
Fathers’s Name (Mandatory except where mother is a single parent and PAN is applied by furnishing the name of mother only)
T E J R A M

Mothers’s Name (optional except where mother is a single parent and PAN is applied by furnishing the name of mother only)

(In case no option is provided then PAN card will be issued with father’s name except where mother is a single parent and you wish to apply for
PAN by furnishing name of the mother only) ✔

H N 0 0
V I L L A G E S H A N A U R I
S W A R
S U R Y A O N L I N E 7 0 7 8 2 6 6 7 2 0
R A M P U R

U T T A R P R A D E S H 2 4 4 9 2 4 I N D I A
✔

9 1 9 9 1 7 9 0 4 2 8 0
[email protected]

3 4 6 8 2 7 3 0 6 8 5 4

M U K A N D I L A L

AADHAAR Card issued by AADHAAR Card issued by UIDAI


UIDAI (In Copy) (In Copy)
AADHAAR Card issued by UIDAI
(In Copy)

MUKANDI LAL HIMSELF/HERSELF

SWAR

1 3 0 8 2 0 2 4

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