Copy to be kept with application

Tax Invoice cum Acknowledgement receipt of PAN Application (Change Request)

Category INDIVIDUAL GSTIN of Applicant

Applicant's Name SUBODH MARDI Existing PAN IOYPM1458G

Name on Card SUBODH MARDI

Father’s Name LATE NAGEN MARDI

Mother’s Name Not mentioned

Date of Birth/ Incorporation 03 May 2001 Communication Address State WEST BENGAL (19)

Telephone/ Mobile Number 91-8181812762 E-mail ID [email protected]

Proof of Identity AADHAAR Card issued by the Unique Identification Authority of India

Proof of Address AADHAAR Card issued by the Unique Identification Authority of India

Proof of DOB AADHAAR Card issued by the Unique Identification Authority of India

PANs Surrendered - - - -
On behalf of Protean eGov Technologies Limited PAN Centre Managed by Protean.
PAN application fee `91.00
Branch ID: 9102433
Integrated Data Management Services Private Limited
CGST 9% `0.00
SHOP NO- 51 VILL-MUNNALAL MOHALLA NEAR TEHSEEL PERMISES MAWANA UTTAR PRADESH 250401 SGST 9% `0.00
IGST 18% `16.38
Total(Rounded Off) `107.00
GSTIN:27AAACN2082N1Z8 CIN: L72900MH1995PLC095642 SAC : 998319
This is a computer generated receipt and does not require signature.
Online PAAM 1.2

Applicant's Copy
Tax Invoice cum Acknowledgement receipt of PAN Application (Change Request)
Tax Invoice cum
P - 910243309316924 Date- 19 Apr 2025
Acknowledgement Number

Category INDIVIDUAL GSTIN of Applicant

Applicant's Name SUBODH MARDI Existing PAN IOYPM1458G

Name on Card SUBODH MARDI

Father’s Name LATE NAGEN MARDI

Mother’s Name Not mentioned

Date of Birth/ Incorporation 03 May 2001 Communication Address State WEST BENGAL (19)

Telephone/ Mobile Number 91-8181812762 E-mail ID [email protected]

Proof of Identity AADHAAR Card issued by the Unique Identification Authority of India

Proof of Address AADHAAR Card issued by the Unique Identification Authority of India

Proof of DOB AADHAAR Card issued by the Unique Identification Authority of India

PANs Surrendered - - - -
On behalf of Protean eGov Technologies Limited PAN Centre Managed by Protean.
PAN application fee `91.00
Branch ID: 9102433 Integrated Data Management Services Private Limited
SHOP NO- 51 VILL-MUNNALAL MOHALLA NEAR TEHSEEL PERMISES MAWANA UTTAR PRADESH 250401 CGST 9% `0.00
SGST 9% `0.00

Note:- “As per instruction from Income Tax Department, an authorized agencies’ agent may visit you for your identity and address IGST 18% `16.38
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.” Total(Rounded Off) `107.00
GSTIN:27AAACN2082N1Z8 CIN: L72900MH1995PLC095642 SAC : 998319
For queries and information please contact: PAN/TDS Call Centers
Automated IVR - 08069708080 Whatsapp Support - 8096078080 tininfo@proteantech. @ProteanEgovTech

Income Tax PAN Services Unit (Managed by Protean)

This is a computer generated receipt and does not require signature. Online PAAM 1.2