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Rakesh Barman

The document is an acknowledgment receipt for a PAN application (Form 49A) submitted by Rakesh Barman, confirming the receipt of payment and details such as gender, date of birth, and Aadhaar number. It includes information about the mode of PAN card issuance, contact details, and instructions for identity verification. The application was received on April 7, 2025, and will be processed by UTIITSL.

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49 views1 page

Rakesh Barman

The document is an acknowledgment receipt for a PAN application (Form 49A) submitted by Rakesh Barman, confirming the receipt of payment and details such as gender, date of birth, and Aadhaar number. It includes information about the mode of PAN card issuance, contact details, and instructions for identity verification. The application was received on April 7, 2025, and will be processed by UTIITSL.

Uploaded by

cscassam15
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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4/7/25, 9:20 AM PANform

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
SHRI RAKESH BARMAN
taxes) from
Application No./Coupon No. U-A107192946
Name to be printed on PAN card RAKESH BARMAN
Gender MALE
Date of Birth/Incorporation 14/10/2007
Father's Name MADAN BARMAN
Aadhaar Number/EID Number xxxx-xxxx-2243 (MENTIONED, MATCHED)*
Name as per Aadhaar RAKESH BARMAN
Applicant's Contact details 8471908587 / [email protected]
Communication Address RESIDENCE
Residence State ASSAM
Office 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)
Date of Receipt 07/04/2025 09:20:15
Mode of Pancard Both physical PAN and e-PAN Card
Payment Ref No 5097091726481211 / PY0152509331
Payment Date 07/04/2025 09:17:36
*AADHAAR MATCHED USING DEMOGRAPHIC DETAILS - WILL BE LINKED WITH PAN.

PAN Service Center Code


634332320015
634332320015
PAN Service Center Name (Sign/Stamp)
634332320015 Received for submission to UTIITSL
Centre Contact Details:
[email protected]
/9854787987
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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