| Address: WARD NO 5 SULABH COMPLEX MAHARANA PRATAP NAGAR INDORE MADHYA PRADESH PIN Code:- 452015, Indore, Madhya Pradesh |
Sir/madam
Below mentioned request has not been used for correction in pan no
Kindly check & refund amount rs 107/- in my account
Application number:u-q[protected]
Coupon number:u-q[protected]
Details are given below
Request for new pan card or / and changes or correction in pan data
Print
Application number:u-q[protected]
Coupon number:u-q[protected]
Permanent account number (Pan)
Aonpj5555q
Aadhaar matched using demographic details - will be linked with your pan.
Payment status: success
Your payment of rs.107.00/- for one pan application has been accepted subject to realization and final settlement confirmation from your banker.
Please quote reference no. Qici[protected] for any future correspondence.
Pan card mode both physical pan card and e-pan
Application mode paper application (Physical submission by applicant)
1. Full name (Full expanded name to be mentioned as appearing in proof identity/address documents initials are not permitted):- (Correction in name)
Title:- shri last name/surname:- jha first name:- deepak middle name:- kumar
Name you would like it printed on the pan card:- deepak
2. Details of parents (Applicable only for individual applicants) :-
Father's name (Mandatory - even married woman should fill in father's name only)
Last name/surname:- jha first name:- suresh middle name:-
Mother's name (Optional)
Last name/surname:- first name:- middle name:-
The name of either father or mother which you may like to be printed on pan card :- father's name
3. Date of birth / incorporation/agreement/partnership or trust deed/formation of body of individuals/association of persons:- 10/08/1993
4. Gender (For 'individual' applicant only):- male
5. Photo mismatch:-
6. Signature mismatch:-
7. Address of communication:- residence
Name of office (To be filled only in case of office address):-
Flat/room/door/block no.:- ward no 5
Name of premises/building/village:- sulabh complex
Road/street/lane/post office:- maharana pratap nagar
Area/locality/taluka/sub-division:- near water tank
Town/city/district:- indore state/union territory:- madhya pradesh pin code:- 452015 country:- india zip:-
8. If you desire to update your other address aso, give required details in additional sheet:-
9. Telephone number & email id details :-
Country code:- 91 area/std code:- telephone/mobile number:- [protected] email id:- [protected]@gmail.com
10. Aadhaar number (If allotted) :- [protected]
Name as per aadhaar letter/card :- deepak kumar jha
11. Mention other permanent account numbers (Pans) inadvertently alloted to you:-
Pan 1:- pan 2:- pan 3:- pan 4:-
12. I/we deepak, the applicant, in the capacity of himself/herself do hereby declare that what is stated above is true to the best of my/our information and belief. I/we have enclosed 1 (Number of documents) in support of proposed changes/corrections.
Indore 05/08/2019
Place date signature/left thumb impression of the applicant
Pan card application made to uti, has been rejected but the payment made was not refunded. my application was rejected by UTIITSL.
Details of the application has been given below:-
application no. - u-n[protected]
name- ankita dobhal
d.O.B- 10/07/1998
application date- 20/08/2019
please refund the amount asap.
Thank you