10/01/2014

Acknowledgment for request for new PAN Application (881020121064031)

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

ACKNOWLEDGMENT NUMBER: 881020121064031
Citizen of India Category Name Name to be printed on card Father's Name Date of Birth Residential Address Y Indiv idual Shri JAMESH BABU JAMESH BABU M Shri MOHAMED CHELLAPPA 05 - 05 - 1987 ROSE HOUSE CHERIKODE KAKKAYUR CHITTUR THALUK PALAKKAD - 678512 Kerala Fluid Control Research Institute Kanj ikode Palakkad Kanj ikode West Palakkad - 678623 Kerala Residential 91 9447368628 j ameshbabu@gmail.com

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

Paym ent Mode

Credit Card / Debit Card: Your Payment of 96.00 against transaction number 400-1148610 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 passport Proof of Address: Copy of ration card 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: 10 - 01 - 2014

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 abov e is y our unique ref erence number f or PAN application. Kindly quote this number f or tracking the status of y our 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: Pay ment f av ouring 'NSDL-PAN' can be made as f ollows: Sr. No. 1 Address for Communication Indian Amount payable ( ) 96 Mode of payment Credit card / Debit card/ Net Banking / Demand Draf t (DD) pay able at Mumbai/Cheque to be deposited in any HDFC bank branch across the country (except Dahej). Credit card / Debit card / Demand Draf t (DD) pay able at Mumbai

Foreign

962

Please mention name of applicant and acknowledgment number on the reverse of cheque/DD. 4. Indiv idual applicants af f ix y our recent colour photograph (3.5 cm x 2.5 cm), sign the acknowledgment (inside the box prov ided without touching the sides and in BLACK INK only ) and enclose a DD, if any , alongwith Proof of Identity & Proof of Address as specif ied in the application f orm.

https://tin.tin.nsdl.com/pan2/servlet/CPGClient?cpg_api=setCustomerResponse&CititoMall=0101| 219287693004| 1| 22453746| 400001148610| 98.20| Y:| 012

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10/01/2014

Acknowledgment for request for new PAN Application (881020121064031)

5. Superscribe the env elope with 'APPLICATION FOR PAN - Acknowledgment Number' (e.g. 'APPLICATION FOR PAN - 881010100000973'). 6. Send the documents as specif ied in point no. 4 abov e to Income Tax PAN Services Unit, NSDL e-Governance Infrastructure Limited, 5th floor, Mantri Sterling, Plot No. 341, Survey No. 997/8, Model Colony, Near Deep Bungalow Chowk, Pune -411016 Tel: 020-27218080; Fax: 02027218081. 7. Y our acknowledgment, Demand Draf t if any , and proof s, should reach NSDL within 15 day s f rom the date of online application. 8. Application will be processed only on receipt of relev ant proof s and realisation of pay ment. 9. PAN card will be despatched only to the communication address prov ided in y our PAN application. Wherev er the Representativ e Assessee (RA) details ( item no.14 in Form 49A ) are mentioned in the application, PAN card will be despatched to the RA's address.

https://tin.tin.nsdl.com/pan2/servlet/CPGClient?cpg_api=setCustomerResponse&CititoMall=0101| 219287693004| 1| 22453746| 400001148610| 98.20| Y:| 012

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