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A 103921508

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Prawin Kumar
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10 views2 pages

A 103921508

Uploaded by

Prawin Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application Number: A103921508

Application Number Bar Code 5006145221251087 / PY0146780699


Payment Reference: Inward Number Bar Code
Payment Date: 06/01/2025 Rs.107.00/-
Application Source: EWALLET - A - CSC E GOVERNANCE SERVICES INDIA LIMITED Application Date: 06/01/2025
User Id: 172532460014 User Name: 172532460014
PAN CARD MODE : Both physical PAN and e-PAN Card Application Mode : Physical Application

P T N W 3 0 9 1

✔
K U M A R
A D I T Y A

A D I T Y A K U M A R

0 5 0 5 2 0 1 2

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 I N G H
S U B O D H
K U M A R
Mothers’s Name (optional except where mother is a single parent and PAN is applied by furnishing the name of mother only)
D E V I
S U D H A

(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 S U B O D H K U M A R S I N G H
P A R I H A R A W A R D N O 0 6
P A R I H A R A
B A K H R I
B E G U S A R A I

B I H A R 8 5 1 2 2 5 I N D I A
✔

9 1 9 1 9 9 3 0 6 3 3 4 8 7
singh75.subodh@gmail.com

4 8 5 5 8 1 9 9 6 7 2 9

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

A D I T Y A K U M A R

✔
S I N G H
S U B O D H
K U M A R

P A R I H A R A
P A R I H A R A W A R D N O 0 6
P A R I H A R A
B A K H R I
B E G U S A R A I
B I H A R 8 5 1 2 2 5

AADHAAR Card issued by AADHAAR Card issued by UIDAI


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

ADITYA KUMAR HIMSELF/HERSELF

PARIHARA

0 6 0 1 2 0 2 5

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