Acknowledgment for request for new PAN Application (88101010740...

https://tin.tin.nsdl.com/pan/servlet/NewPanApp

Acknowledgment for request for new PAN card

ACKNOWLEDGMENT NUMBER: 881010107408760
Citizen of India Category Name Name to be printed on card Father's Name Date of Birth Residential Address Y Individual Shri ANAND PANCHETI PANCHETI ANAND Shri PULLAIAH PANCHETI 15-06-1984 DOOR NO-1-70 NELABALLI(VILL) DORAVARISATHRAM(MAND) NAYUDUPET-VIA S.P.S.NELLORE - 524126 Andhra Pradesh NPTI FLAT-602 SECTOR-33 NEAR NHPC HQ'S FARIDABAD - 121003 Haryana Office 0129 - 2275308 m4uanand@gmail.com

Office Address

Affix recent photograph (3.5cm x 2.5cm)

Address for Communication Telephone No Email Id

Payment Mode
Demand Draft: Number 616318747 dated 26-08-2010 (in dd/mm/yyyy form) for Rs.94.00 in favour of 'NSDL-PAN', drawn on INDIAN OVERSEAS BANK , payable at Mumbai. 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 employer certificate 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: 28 - 08 - 2010

Service Tax Registration No.: M-III/ST/BAS/2847

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://tinnsdl.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 (Rs.) 94 M ode of payment Credit card / Debit card/ Demand Draft (DD) payable at Mumbai/Cheque to be deposited in any HDFC bank branch across the country (except Dahej). DD payable at Mumbai

Foreign

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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, National Securities Depository Limited, 3 floor, Sapphire Chambers, Near Baner Telephone Exchange, Baner Pune -411045 Tel: 020-27218080; Fax: 020-27218081. 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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28-08-2010 22:14