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    A 094663133

    Uploaded by

    ram boipai

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    A 094663133

    Uploaded by

    ram boipai
    4 views2 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4 views2 pages

    A 094663133

    Uploaded by

    ram boipai

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Application Number: A094663133

    Application Number Bar Code 4164082222495284 / PY0132581658


    Payment Reference: Inward Number Bar Code
    Payment Date: 12/06/2024 Rs.107.00/-
    Application Source: EWALLET - A - CSC E GOVERNANCE SERVICES INDIA LIMITED Application Date: 12/06/2024
    User Id: 346534320014 User Name: 346534320014
    PAN CARD MODE : Both physical PAN and e-PAN Card Application Mode : Physical Application

    P T N W 6 0 9 5

    ✔
    S O Y
    S U N I L

    S U N I L S O Y

    0 1 0 1 2 0 0 4

    Whether mother is a single parent and you wish to apply for PAN by furnishing the name of your mother only? Yes No ✔ (please tick as applicable)
    If yes, please fill in mother’s name in the appropriate space provided below.
    Fathers’s Name (Mandatory except where mother is a single parent and PAN is applied by furnishing the name of mother only)
    S O Y
    H A R I C H A R A N

    Mothers’s Name (optional except where mother is a single parent and PAN is applied by furnishing the name of mother only)
    S O Y
    S U M A N T I

    (In case no option is provided then PAN card will be issued with father’s name except where mother is a single parent and you wish to apply for
    PAN by furnishing name of the mother only) ✔

    T A N T N A G A R
    P U R N I A
    C H I T I M I T I

    W E S T S I N G H B H U M

    J H A R K H A N D 8 3 3 2 0 1 I N D I A
    ✔

    9 1 9 1 7 3 0 2 3 6 4 2
    ssunildj9@gmail.com

    5 6 8 9 9 8 6 8 3 0 8 2

    S U N I L S O Y

    AADHAAR Card issued by AADHAAR Card issued by UIDAI


    UIDAI (In Copy) (In Copy)
    AADHAAR Card issued by UIDAI
    (In Copy)

    SUNIL SOY HIMSELF/HERSELF

    CSC CENTRE BARA KOYTA

    1 2 0 6 2 0 2 4

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