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Fatho!'r Name
iroth6!'s Name
D.te of Blrth/ lncorpor.tio[ 01 Nov 2001 Communication Address Stale HARYANA (6)
Proof of ldentlty AADHAAR Card issued by the Un]que ldentiicalion Authority oflndia
Prcof ot Addtrle AADHAAR Card issued by the Unique ldentification Aulhority of lndia
Proof of DOB AADHAAR Card issued by lhe Unique ldentmcation Aulhority of lndia
On behalr oI Potean ecov r*hmlosies Limiled (romny NSDL o-G.v€han@ lil€shcruE Lmitod) PAN Cente Ma..s.d by Perean.
PAN application fee t91.00
Branch lD: 3107877 sGsT 9% T0.00
lntog€ted Data Management SeMces Private Limited
cGsT 90/o t0,00
SK JAN SEVA KENDRA VILL-MAREHRA NEAR SAI BANK ETAH UTTAR PRAOESH 207401
IGST 18% {16.38
Applicant's Copy
Date of Blrtrl/ lncoiporstlon 0'1 Nov 2001 Communication Address State HARYANA (6)
Proofof ldlr lty AADHAAR Card issued by the Unique ldentifcalion Authorjty of lndia
Proof ol DOE AADHAAR Card issued by the Unique ldentification Aulhority of lndia
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B
Income Tax PAil Servicss Unit (ruanaged hy Protean)
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@
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lininfo@proleantech.in
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@PrctoanEsovrech
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