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- NAME -
First Middle Last
VISHAL RAVINDRA PATIL
- RESIDENCE ADDRESS -
Flat/Door/Block No.
10.00
Name of Premises / Building / Village
SIRADHON
Road / Street / Lane / Post Office
SIRADHON
Area / Locality / Taluka / Sub - Division
MALKAPUR
Town / City / District
BULDANA
State / Union Territory PIN
MAHARASHTRA 443102
- CONTACT US -
email - Qvisitor@gmail.com
web - www.GrowShine.com
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- FATHER NAME -
First Middle Last
RAVINDRA SADASHIV PATIL
''''''''''''''''''''''''''' '''''''''''''''''''''''''''
- DATE OF BIRTH / INCORPORATION - (DD - MM - YY) ''''''''''''''''''''''''''' '''''''''''''''''''''''''''
01 10 1986 ''''''''''''''''''''''''''' '''''''''''''''''''''''''''
''''''''''''''''''''''''''' '''''''''''''''''''''''''''
- OFFICE ADDRESS - ''''''''''''''''''''''''''' '''''''''''''''''''''''''''
Flat/Door/Block No.
- CONTACT NUMBER -
9372937016
- APPLICANT NAME -
VISHAL RAVINDRA PATIL
ONTACT US -
visitor@gmail.com
w.GrowShine.com
tp://TaxSher.BlogSpot.com
Form No. 49A
Application for Allotment of Permanent Account Number
Middle Name
4. Father’s Name (Only ‘Individual’ applicants : Even married women should give father’s name only)
Last Name / Surname First Name
P A T I L R A V I N D R A
Middle Name
S A D A S H I V
5. Address
R. Residential Address
Flat/Door/Block No.
1 0
Name of Premises / Building / Village
S I R A D H O N
Road / Street / Lane / Post Office
S I R A D H O N
Area / Locality / Taluka / Sub - Division
M A L K A P U R
Town / City / District State / Union Territory Pin
B U L D A N A MAHARASHTRA 4 4 3 1 0 2
O. Office Address (Name of Office) (Indicating PIN is mandatory)
Flat/Door/Block No.
email ID VISHAL_PATIL@ICAI.ORG
8. Sex (For ‘Individual’ Applicants only) Please Tick ✘ as applicable Male a Female
10. Date of Birth / Incorporation / Agreement / Partnership or Trust Deed / Formation of Body 0 1 - 1 0 - 1 9 8 6
D D M M Y Y Y Y
13. (a) Are you a salaried employee? If yes, indicate Government Others
(b) If you are engaged in a business / profession, indicate nature of business or profession and fill the relevant code
(c) If you are not covered by (a) or (b) above, indicate sources of income, if any
14. Full name, address of the Representative Assessee, who is assessable under the Income Tax Act in respect of the person, whose particulars
have been given in column 1 to 13.
Full Name (Full expanded name : initials are not permitted) Please tick as applicable Shri Smt. Kumari M/s
Middle Name
Address
Flat/Door/Block No.
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