6/25/24, 12:16 PM about:blank
PAN Application Acknowledgment Receipt (For
Changes Or Correction in PAN Data)
( Digital Application - Aadhaar based e-KYC [Otp] )
Received Rs. 106.90/- (incl of taxes) from: SMT PAIDAILIU KABUI
Application No./Coupon No.: U-Q014952625
PAN Number: xxxxxx916P
Name as to be printed on PAN card: PAIDAILIU KABUI
Gender FEMALE
Date of Birth/Incorporation 09/04/1974
Father's Name: DILUANJAI RONGMAI
Aadhaar Number/EID Number: xxxx-xxxx-6553 (MENTIONED,
MATCHED)*
Name as per Aadhaar: PAIDAILIU KABUI
Applicant's Contact details: 6002091511/
[email protected] Communication Address: RESIDENCE
RESIDENCE State: ASSAM
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: 25/06/2024 12:15:00
Mode of PAN Card: Both physical PAN and e-PAN Card
Payment Ref No: 4177121224619414 / PY0133623858
Payment Date: 25/06/2024
Application accepted with documentary proofs
Name . DOB .
for changes/correction in PAN record details for:
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS.
PAN Service Center Code: 224556730011 224556730011
(Sign/Stamp)
PAN Service Center Name: 224556730011
Received for submission to UTIITSL
Center Contact Details:
[email protected] / 8751913019
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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