Acknowledgment for request for new PAN Application (...

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Acknowledgment for request for new PAN card(Form 49A)

ACKNOWLEDGMENT NUMBER: 881030118677726
Citizen of India Category Name Name to be printed on card Father's Name Date of Birth Residential Address Y Individual Shri Rajneesh Kumar Rajneesh kumar Shri Padam Singh 15 - 08 - 1988 Vill Sari PO Hatkoti Teh Jubbal Distt Shimla - 171206 Himachal Pradesh IISER MOHALI Room no 516 Hostel 7 PO Manauli Mohali SAS Nagar - 140306 Punjab Office 91 8988076295 605249660179 rajnieshfusis7@yahoo.co.in

Affix recent photograph (3.5cm x 2.5cm) Signature/Left Thumb Impression across this photo

Affix recent photograph (3.5cm x 2.5cm)

Office Address

Address for Communication Telephone No Aadhaar No. Email Id

Payment Mode
Net Banking: Your Payment of 96.00 against transaction number 400-926774 has been successfully processed.

I/We, 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 voter's identity card Proof of Address: Copy of bank account statement/passbook Proof of Identity of representative assessee: Proof of Address of representative assessee: Any other document: Signature/Left Thumb Impression of Applicant (inside the box without touching the sides & in BLACK INK ONLY ) Date: 09 - 08 - 2013

Preview Application Form

Print Acknowledgment

New Application

Service Tax Code (Registration Number): AAACN2082NST001 Service Tax Registration Category: BUSINESS AUXILIARY SERVICES

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 http://tin-nsdl.com or any queries relating thereto. 2. Save and print this acknowledgment. 3. Application fee and mode of payment: Payment favouring 'NSDL-PAN' can be made as follows: Sr. No. 1 Address for Communication Indian Amount payable ) ( 96 Mode of payment 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). Credit card / Debit card / Demand Draft (DD) payable at Mumbai

Foreign

962

Please mention name of applicant and acknowledgment number on the reverse of cheque/DD. 4. Individual applicants affix your recent colour photograph (3.5 cm x 2.5 cm), sign the acknowledgment (inside the box provided without touching the sides and in BLACK INK only) and enclose a DD, if any, alongwith Proof of Identity & Proof of Address as specified in the application form. 5. Superscribe the envelope with 'APPLICATION FOR PAN - Acknowledgment 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, 5 th floor, Mantri Sterling, Plot No. 341, Survey No. 997/8, Model Colony, Near Deep Bungalow Chowk, Pune -411016 Tel: 020-27218080; Fax: 020-27218081.

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Acknowledgment for request for new PAN Application (...

https://tin.tin.nsdl.com/pan2/servlet/CPGClient?cpg_api=...

7. Your acknowledgment, 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 despatched 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 despatched to the RA's address.

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08/09/2013 10:03 PM