Copy to be kept with application

Tax Invoice cum Acknowledgement receipt of PAN Application (Change Request)

Tax Invoice cum P - 804829700103225 Date- 04 Apr 2023
Acknowledgement Number

Category INDIVIDUAL GSTIN of Applicant

Applicant's Name MOHAMMED SUFIYAN KHAN Existing PAN LUHPK2786D

Name on Card MOHAMMED SUFIYAN KHAN

Father’s Name MOHAMMED SAYEED KHAN

Mother’s Name Not mentioned

Date of Birth/ Incorporation 12 Feb 2005 Communication Address State TELANGANA (36)

Telephone/ Mobile Number 091-8555843242 E-mail ID ISONLINESERVICES2021@GMAIL.COM

Proof of Identity AADHAAR Card issued by the Unique Identification Authority of India

Proof of Address AADHAAR Card issued by the Unique Identification Authority of India

Proof of DOB AADHAAR Card issued by the Unique Identification Authority of India

PANs Surrendered - - - -
On behalf of Protean eGov Technologies Limited (formerly NSDL e-Governance Infrastructure Limited) PAN Centre Managed by Protean.
PAN application fee `91.00
Branch ID: 80482
Religare Broking Limited
CGST 9% `0.00
GS AND Associates, 13-1-1233/2/A Beside Shifa Pharmacy, Natraj Nagar Jhirra, Asifnagar Hyderabad SGST 9% `0.00
TELANGANA 500006
IGST 18% `16.38
Total(Rounded Off) `107.00
GSTIN:27AAACN2082N1Z8 CIN: U72900MH1995PLC095642 SAC : 998319
This is a computer generated receipt and does not require signature.
Online PAAM 1.2

Applicant's Copy
Tax Invoice cum Acknowledgement receipt of PAN Application (Change Request)
Tax Invoice cum
P - 804829700103225 Date- 04 Apr 2023
Acknowledgement Number

Category INDIVIDUAL GSTIN of Applicant

Applicant's Name MOHAMMED SUFIYAN KHAN Existing PAN LUHPK2786D

Name on Card MOHAMMED SUFIYAN KHAN

Father’s Name MOHAMMED SAYEED KHAN

Mother’s Name Not mentioned

Date of Birth/ Incorporation 12 Feb 2005 Communication Address State TELANGANA (36)

Telephone/ Mobile Number 091-8555843242 E-mail ID ISONLINESERVICES2021@GMAIL.COM

Proof of Identity AADHAAR Card issued by the Unique Identification Authority of India

Proof of Address AADHAAR Card issued by the Unique Identification Authority of India

Proof of DOB AADHAAR Card issued by the Unique Identification Authority of India

PANs Surrendered - - - -
On behalf of Protean eGov Technologies Limited (formerly NSDL e-Governance Infrastructure Limited) PAN Centre Managed by Protean.
PAN application fee `91.00
Branch ID: 80482 Religare Broking Limited
GS AND Associates, 13-1-1233/2/A Beside Shifa Pharmacy, Natraj Nagar Jhirra, Asifnagar Hyderabad TELANGANA 500006 CGST 9% `0.00
SGST 9% `0.00

Note:- “As per instruction from Income Tax Department, an authorized agencies’ agent may visit you for your identity and address IGST 18% `16.38
verification as per the documents submitted by you with the PAN application form. You are requested to ask authorization letter/ID
card from the agent before verification.Your cooperation is solicited in this regard.” Total(Rounded Off) `107.00
GSTIN:27AAACN2082N1Z8 CIN: U72900MH1995PLC095642 SAC : 998319
For queries and information please contact: PAN/TDS Call Centers
020 - 27218080 020 - 27218081 tininfo@proteantech.in @Protean_Tech

Income Tax PAN Services Unit (Managed by Protean)

Protean eGov Technologies Limited 4th floor, Sapphire Chambers, Baner Road, Baner, Pune 411045
If mobile no. is mentioned then you will receive SMS on status of your application.
You may track the status of your application using SMS facility – Type PTNPAN<space>15 digit acknowledgement no. and send it to 57575 or by visiting our website

This is a computer generated receipt and does not require signature. Online PAAM 1.2