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    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)
    SMT SAMIRUN BIBI GAZI
    from
    Application No./Coupon No. U-A102010243
    Name to be printed on PAN card SAMIRUN BIBI GAZI
    Gender FEMALE
    Date of Birth/Incorporation 01/01/1984
    Father's Name NACHHIM GAZI
    Aadhaar Number/EID Number xxxx-xxxx-6198 (MENTIONED, MATCHED)*
    Name as per Aadhaar SAMIRUN BIBI GAZI
    Applicant's Contact details 9883626928 / [email protected]
    Communication Address RESIDENCE
    Residence State WEST BENGAL
    Office State WEST BENGAL
    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 12/11/2024 08:11:49
    Mode of Pancard Both physical PAN and e-PAN Card
    Payment Ref No OgN6F2jleKnPZKC2uVoB / PY0143620698
    Payment Date 12/11/2024 08:09:01
    *AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.

    PAN Service Center Code


    TUHIN SHUVRA MONDAL
    TUHIN191980
    PAN Service Center Name TUHIN (Sign/Stamp)
    SHUVRA MONDAL Received for submission to UTIITSL
    Centre Contact Details:
    [email protected]
    /8250326732
    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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