Copy to be kept with application

Tax Invoice cum Acknowledgement receipt of PAN Application (Form 49A)

Tax Invoice cum
N - 157049700063771 Date- 17 Dec 2017
Acknowledgement Number

Category INDIVIDUAL GSTIN of Applicant NA

Applicant's Name SUSHILA DEVI

Name on Card SUSHILA DEVI

Father’s Name KADEDEEN RAJAK

Date of Birth/ Incorporation 01 Jan 1979 PAN Card dispatch State UTTAR PRADESH (9)

Telephone/ Mobile Number 91-7607714259 E-mail ID MANICHANDRA217@GMAIL.COM

Proof of Identity AADHAAR Card issued by the Unique Identification Authority of India

Proof of Address AADHAAR Card issued by the Unique Identification Authority of India

Proof of DOB AADHAAR Card issued by the Unique Identification Authority of India

On behalf of NSDL e-Governance Infrastructure Limited (PAN-Centre Managed by NSDL) PAN application fee `93.00
Branch ID: 15704 CGST 9% `0.00
Alankit Limited SGST 9% `0.00
Office No.-482 VILL&POST Jethwara Thana Jethwara Near Bank of India Lalganj UTTAR IGST 18% `16.74
PRADESH 230129
Total(Rounded Off) `110.00

GSTIN:27AAACN2082N1Z8 CIN: U72900MH1995PLC095642 SAC : 998319

This is a computer generated receipt and does not require signature. Online PAAM 1.2

Applicant's Copy
Tax Invoice cum Acknowledgement receipt of PAN Application (Form 49A)
Tax Invoice cum N - 157049700063771 Date- 17 Dec 2017
Acknowledgement Number

Category INDIVIDUAL GSTIN of Applicant NA

Applicant's Name SUSHILA DEVI

Name on Card SUSHILA DEVI

Father’s Name KADEDEEN RAJAK

Date of Birth/ Incorporation 01 Jan 1979 PAN Card dispatch State UTTAR PRADESH (9)

Telephone/ Mobile Number 91-7607714259 E-mail ID MANICHANDRA217@GMAIL.COM

Proof of Identity AADHAAR Card issued by the Unique Identification Authority of India

Proof of Address AADHAAR Card issued by the Unique Identification Authority of India

Proof of DOB AADHAAR Card issued by the Unique Identification Authority of India
On behalf of NSDL e-Governance Infrastructure Limited (PAN-Centre Managed by NSDL)
PAN application fee `93.00
Branch ID: 15704 CGST 9% `0.00
Alankit Limited
Office No.-482 VILL&POST Jethwara Thana Jethwara Near Bank of India Lalganj UTTAR PRADESH 230129 SGST 9% `0.00
IGST 18% `16.74
Total(Rounded Off) `110.00
GSTIN:27AAACN2082N1Z8 CIN: U72900MH1995PLC095642 SAC : 998319
For queries and information please contact: PAN/TDS Call Centers
020 - 27218080 020 - 27218081 tininfo@nsdl.co.in @NSDLeGovernance
Income Tax PAN Services Unit (Managed by NSDL)
5th floor, Mantri Sterling, Plot No. 341, Survey No. 997/8, Model Colony, Near Deep Bungalow Chowk, Pune – 411 016
If mobile no. is mentioned then you will receive SMS on status of your application.
You may track the status of your application using SMS facility – Type NSDLPAN<space>15 digit acknowledgement no. and send it to 57575 or by visiting our
website www.tin-nsdl.com.
You are also requested to provide feedback on your experience of PAN service at www.cleanmoney.gov.in
This is a computer generated receipt and does not require signature.
Online PAAM 1.2