Uti Infrastructure Technology & Services Limited [Utiitsl] — wrongly deposit rs 107/_ in your account online

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