PAN Application Acknowledgment Receipt (For Changes
Or Correction in PAN Data)
( Physical Application )
Received Rs. 107.00/- (incl of SMT LAKSHAMI DEVI
taxes) from:
Application No./Coupon No.: U-Q015028856
PAN Number: xxxxxx410B
Name as to be printed on PAN LAKSHAMI DEVI
card:
Gender FEMALE
Date of Birth/Incorporation 01/01/1979
Father's Name: JAG PRASAD GIRI
Aadhaar Number/EID Number: xxxx-xxxx-9985 (MENTIONED, MATCHED)*
Name as per Aadhaar: LALSHAMI DEVI
Applicant's Contact details: 7607833943/
[email protected]Communication Address: RESIDENCE
RESIDENCE State: UTTAR PRADESH
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: 30/12/2024 16:55:35
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: UTIMWTHOB56547136187 / PY0134070497
Payment Date: 30/12/2024
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code:
SHIV SHYAM SHARMA
SHIVS2202
PAN Service Center Name: SHIV (Sign/Stamp)
SHYAM SHARMA Received for submission to UTIITSL
Center Contact Details:
[email protected] / 9044920903
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.
