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A 107104604

The document is an application for a PAN card with application number A107104604, submitted on April 4, 2025, through the EWALLET service. The applicant, Avdhesh, has provided both physical and e-PAN card options and has indicated that the father's name is Prasad Lalta. The application includes personal details such as the applicant's address in Uttar Pradesh and an email contact.

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S.K.V GROUPS OF MMB SITAPUR
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22 views2 pages

A 107104604

The document is an application for a PAN card with application number A107104604, submitted on April 4, 2025, through the EWALLET service. The applicant, Avdhesh, has provided both physical and e-PAN card options and has indicated that the father's name is Prasad Lalta. The application includes personal details such as the applicant's address in Uttar Pradesh and an email contact.

Uploaded by

S.K.V GROUPS OF MMB SITAPUR
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
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Application Number: A107104604

Application Number Bar Code 5094124224691133 / PY0152364396


Payment Reference: Inward Number Bar Code
Payment Date: 04/04/2025 Rs.107.00/-
Application Source: EWALLET - A - CSC E GOVERNANCE SERVICES INDIA LIMITED Application Date: 04/04/2025
User Id: 461526160010 User Name: 461526160010
PAN CARD MODE : Both physical PAN and e-PAN Card Application Mode : Physical Application

L K N W 4 3 1

✔
A V D H E S H

A V D H E S H

0 1 0 1 1 9 7 4

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)
P R A S A D
L A L T A

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) ✔

M O H A B B A T P U R
M O H A B B A T P U R
M A N D U R I
S I D H A U L I
S I T A P U R

U T T A R P R A D E S H 2 6 1 3 0 1 I N D I A
✔

9 1 9 6 2 8 2 8 0 0 1 8
[email protected]

6 3 0 2 2 1 2 9 3 7 6 6

N O T A P P L I C A B L E W E F 0 1 1 0 2 0 2 4

A V D H E S H

AADHAAR Card issued by AADHAAR Card issued by UIDAI


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

AVDHESH HIMSELF/HERSELF

MOHABBATPUR

0 4 0 4 2 0 2 5

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