Annex 686099700164701

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INCOME TAX PAN SERVICES UNIT

Managed by Protean eGov Technologies Limited (formerly NSDL e-Governance Infrastructure Limited)
4th floor, Sapphire Chambers, Baner Road, Baner, Pune 411045.

Ref.No.TIN/PAN/CR-/68609970016470102 Date: 02-JUN-2024


Smt SUSHMABEN VIJAYKUMAR GOYAL
66 AMIT PARK
ISANPUR ISANPOOR
AHMEDABAD Gujarat 382443
Dear Sir/Madam,
Subject : Discrepancy in the documents received for PAN application
1. This has reference to documents received in connection with your request for New PAN card and/or changes/correction in PAN data for PAN ALPPA8831P made vide
acknowledgement no. 686099700164701. Following discrepancies are observed between details provided in application and details available with Income Tax Department
(ITD).

Particular As per Application As per ITD's Database Discrepancy in documents submitted


Applicant's Name SUSHMABEN SUSHMADEVI VIJAYKUMAR Name change from SUSHMADEVI VIJAYKUMAR AGARWAL to
VIJAYKUMAR GOYAL AGARWAL SUSHMABEN VIJAYKUMAR GOYAL has not been specified in
AADHAR Card issued by the Unique Identification Authority of India
provided by you (Please refer list 1)
Father's Name DWARAKAPRASAD DWARKAPRASAD KESHAVLAL Father's name change from DWARKAPRASAD KESHAVLAL
KSHORAM AGARWAL AGARWAL AGARWAL to DWARAKAPRASAD KSHORAM AGARWAL has not
been specified in AADHAR Card issued by the Unique Identification
Authority of India provided by you (Please refer list 2)
2. Please submit the below specified documents (with details as per application) to clear the above mentioned discrepancy (ies).

Name Father's Name


( any one of the following - List 1 ) ( any one of the following - List 2 )
Marriage Certificate or Marriage invitation Card or Public notification in official gazette or clarification for
Publication of name change in official gazatte or copy of change in father name along with relevant proof of Identity
passport showing husband's name or certificate issued by of applicant having father name as desired.
gazetted officer along with copy of office Identity proof of
gazetted officer.
Publication of name change in official gazatte or certificate
issued by a gazetted officer along with copy of office
identity proof of gazetted officer.

3. Please note your PAN application will be processed only on receipt of documents as explained above.
4. If we do not receive documents as mentioned above within 30 days, then your application will be filed and no further action will be taken.
5. Information relating to all PAN Services of ITD can be obtained by making a phone call to Aaykar Sampark Kendra (1800-180-1961) or TIN-Call Centre (020-27218080)
or from the website: www.incometaxindia.gov.in or https://www.protean-tinpan.com/index.html
(This being a computer-generated letter,no signature is required) Income Tax Department
Caution : Income Tax Department does not send e-mails regarding refunds and does not seek any taxpayer information like user name, password, details of ATM, bank accounts,
credit cards, etc. Taxpayers are advised not to part with such information on the basis of emails.

To be sent to Protean along with documents RETURN-SLIP

ACKNOWLEDGEMENT NO.686099700164701

Please indicate how you want your application to be processed by putting tick in appropriate boxes.
A. Reprint PAN card with ITD data, no change required: [ ]

B. For following fields, details available with Income Tax Department is / are correct and should not be changed (ignore application data):

[ ] Name [ ] Father's Name [ ] DOB

C. For following fields, details available with Income Tax Department is / are incorrect and should be changed:

[ ] Name [ ] Father's Name [ ] DOB (provide documents to support changes as described overleaf)

List of Documents attached: (1)_____________(2)___________(3)___________(4)____________

Name of Applicant: Smt SUSHMABEN VIJAYKUMAR GOYAL

Signature of Applicant: _______________

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