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5/31/24, 5:01 PM about:blank

PAN Application Acknowledgment Receipt For Form 49A


( Physical Application )

Received Rs. 107.00/- (incl of


SHRI PARTHA PRATIM BARIK
taxes) from
Application No./Coupon No. U-A094161489
Name to be printed on PAN card PARTHA PRATIM BARIK
Gender MALE
Date of Birth/Incorporation 13/10/2009
Father's Name AJAY KUMAR BARIK
Aadhaar Number/EID Number xxxx-xxxx-4804 (MENTIONED, MATCHED)*
Name as per Aadhaar PARTHA PRATIM BARIK
Applicant's Contact details 8018152828 / [email protected]
Communication Address OFFICE
Residence State ODISHA
Office State ODISHA
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)
Date of Receipt 31/05/2024 03:43:37
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 4152154627085346 / PY0131838378
Payment Date 31/05/2024 03:46:33
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.

PAN Service Center Code


422316150018
422316150018
PAN Service Center Name (Sign/Stamp)
422316150018 Received for submission to UTIITSL
Centre Contact Details:
[email protected]
/9658000108
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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