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    A101875818

    Uploaded by

    icv4f

    Copyright:

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

    A101875818

    Uploaded by

    icv4f
    4 views2 pages

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    4 views2 pages

    A101875818

    Uploaded by

    icv4f

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Application Number: A101875818

    Application Number Bar Code 4313181821211231 / PY0143409119


    Payment Reference: Inward Number Bar Code
    Payment Date: 08/11/2024 Rs.107.00/-
    Application Source: EWALLET - A - CSC E GOVERNANCE SERVICES INDIA LIMITED Application Date: 08/11/2024
    User Id: 145435260018 User Name: 145435260018
    PAN CARD MODE : Both physical PAN and e-PAN Card Application Mode : Physical Application

    P T N W 5 7 9 3

    ✔
    R A J A K
    D U R Y O D H A N

    D U R Y O D H A N R A J A K

    0 1 0 1 1 9 7 3

    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)
    R A J A K
    H A K I M

    Mothers’s Name (optional except where mother is a single parent and PAN is applied by furnishing the name of mother only)

    (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) ✔

    S / O - H A K I M R A J A K
    T U G H A R I
    T U G H A R I
    C H A S M U
    B O K A R O

    J H A R K H A N D 8 2 7 0 1 3 I N D I A
    ✔

    9 1 9 8 3 5 1 6 8 0 8 1
    santoshkumarcky@gmail.com

    9 9 8 4 5 3 3 5 6 5 0 3

    N O T A P P L I C A B L E W E F 0 1 1 0 2 0 2 4

    D U R Y O D H A N R A J A K

    AADHAAR Card issued by AADHAAR Card issued by UIDAI


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

    DURYODHAN RAJAK HIMSELF/HERSELF

    BOKARO

    0 8 1 1 2 0 2 4

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