Form 49A
Under section 139A of the Income-Tax Act, 1961
PAN Application Acknowledgment Receipt For Form 49A
( Physical Application )
Received Rs. 107.00/- (incl of
taxes) from
Application No./Coupon No.
Name to be printed on PAN card
Gender
Date of Birth/Incorporation
Father's Name
Aadhaar Number/EID Number
Name as per Aadhaar
Applicant's Contact details
Communication Address
Residence State
Proof of Identity
Proof of Address
Proof of DOB
Date of Receipt
Mode of Pancard
Payment Ref No
Payment Date
SMT AASHA DEVI
U-A075822587
AASHA DEVI
FEMALE
01/01/1984
KRIPAL MUKHIYA
xxxx-xxxx-9735 (MENTIONED, MATCHED)*
AASHA DEVI
9113809356 / erchaturanan@gmail.com
RESIDENCE
BIHAR
AADHAAR Card issued by UIDAI (In Copy)
AADHAAR Card issued by UIDAI (In Copy)
AADHAAR Card issued by UIDAI (In Copy)
12/06/2023 08:32:54
Both physical PAN and e-PAN Card
3191083724265766 / PY0104788178
12/06/2023 08:37:44
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.
PAN Service Center Code
216515130018
PAN Service Center Name
CHATURANAN CHOUDHARY
Centre Contact Details:
ARYAN71006@gmail.com
/9971343515
CHATURANAN CHOUDHARY
(Sign/Stamp)
Received for submission to UTIITSL
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.
Download PDF Form
Print
Close