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ACKNOWLEDGEMENT NUMBER:
881020132449461
Citizen of India Y
Affix recent
photograph
(3.5cm x 2.5cm)
Category
Individual
Name
Affix recent
photograph
(3.5cm x 2.5cm)
Name to be
RANJITH VENKATACHALA
printed on card
Father's Name
Date of Birth
04-09-1989
Residential
Address
667
7TH MAIN 11TH CROSS
BEL LAYOUT 1ST STAGE
BANGALORE - 560091
Karnataka
91 9483232345
Email ID
RANJITH.V@LIVE.COM
AADHAAR No.
Payment Mode
Credit Card: Your Payment of ` 106 against transaction number 400-2224875 has been successfully processed.
I/We, Ranjith.v the applicant, do hereby declare that what is stated above is true to the best of my/our information and belief.
The following documents are enclosed as:
Proof of Identity: Copy of Elector's photo identity card
Proof of Address: Copy of Elector's photo identity card
Proof of Date of birth: Copy of Matriculation certificate
Proof of Identity of representative assessee:
Proof of Address of representative assessee:
Any other document:
Date: 23-06-2015
Instructions:
1. The acknowledgement number above is your unique reference number for PAN application. Kindly quote this number for tracking
the status of your PAN application on https://tin-nsdl.com or any queries relating thereto.
2 Save and print this acknowledgement.
3. Application fee and mode of payment: Payment favouring 'NSDL-PAN' can be made as follows:
Sr. No.
Address for
Communication
Amount payable
( )
Indian
106
Credit card / Debit card/ Net Banking / Demand Draft (DD) payable at Mumbai/Cheque to be
deposited in any HDFC bank branch across the country (except Dahej).
Foreign
985
Mode of payment
Please mention name of applicant and acknowledgement number on the reverse of cheque/DD.
4 Individual applicants affix your recent colour photograph (3.5 cm x 2.5 cm), sign the acknowledgement (inside the box provided
without touching the sides and in BLACK INK only) and enclose a Demand Draft (DD), if any, alongwith Proof of Identity, Proof
of Address and Proof of Date of Birth as specified in the application form.
5 Superscribe the envelope with 'APPLICATION FOR PAN - Acknowledgement Number' (e.g. 'APPLICATION FOR PAN 881010100000973').
6 Send the documents as specified in point no. 4 above to Income Tax PAN Services Unit, NSDL e-Governance Infrastructure
Limited, 5th floor, Mantri Sterling, Plot No. 341, Survey No. 997/8, Model Colony, Near Deep Bungalow Chowk, Pune 411016 Tel: 020-27218080; Fax: 020-27218081.
7 Your acknowledgement, Demand Draft if any, and proofs, should reach NSDL within 15 days from the date of online application.
8 Application will be processed only on receipt of relevant proofs and realisation of payment.
9 PAN card will be dispatched only to the communication address provided in your PAN application. Wherever the
Representative Assessee (RA) details ( item no.14 in Form 49A ) are mentioned in the application, PAN card will be dispatched to
the RA's address.