Copy to be kept with application

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

Tax Invoice cum N - 033789701103185 Date- 16 Jan 2018
Acknowledgement Number

Category INDIVIDUAL GSTIN of Applicant

Applicant's Name ESHANI RAKESH MANCHAKATLA Existing PAN COXPS0195H

Name on Card ESHANI RAKESH MANCHAKATLA

Father’s Name NAGARAJ SHREEPATHI

Date of Birth/ Incorporation 23 May 1991 PAN Card dispatch State MAHARASHTRA (27)

91-7498802231 E-mail ID SMPANCARD4U@GMAIL.COM

Telephone/ Mobile Number

Proof of Identity Certificate of Identity signed by a Municipal Councillor

Proof of Address Certificate of Address signed by a Municipal Councillor

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

PANs Surrendered - - - -
On behalf of NSDL e-Governance Infrastructure Limited (PAN-Centre Managed by NSDL)
PAN application fee `93.00
Branch ID: 03378 CGST 9% `8.37
Integrated Data Management Services Private Limited
F-4, GROUND FLR,F.KASTURCHAND BLDG GOKHALE ROAD,OPP.PORTUGUESE CHURCH DADAR MUMBAI SGST 9% `8.37
MAHARASHTRA 400028
IGST 18% `0.00
Total(Rounded Off) `110.00
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 N - 033789701103185 Date- 16 Jan 2018
Acknowledgement Number

Category INDIVIDUAL GSTIN of Applicant

Applicant's Name ESHANI RAKESH MANCHAKATLA Existing PAN COXPS0195H

Name on Card ESHANI RAKESH MANCHAKATLA

Father’s Name NAGARAJ SHREEPATHI

Date of Birth/ Incorporation 23 May 1991 PAN Card dispatch State MAHARASHTRA (27)

Telephone/ Mobile Number 91-7498802231 E-mail ID SMPANCARD4U@GMAIL.COM

Proof of Identity Certificate of Identity signed by a Municipal Councillor

Proof of Address Certificate of Address signed by a Municipal Councillor

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

PANs Surrendered - - - -
On behalf of NSDL e-Governance Infrastructure Limited (PAN-Centre Managed by NSDL) PAN application fee `93.00
Branch ID: 03378 CGST 9% `8.37
Integrated Data Management Services Private Limited
F-4, GROUND FLR,F.KASTURCHAND BLDG GOKHALE ROAD,OPP.PORTUGUESE CHURCH DADAR SGST 9% `8.37
MUMBAI MAHARASHTRA 400028
IGST 18% `0.00
Total(Rounded Off) `110.00
GSTIN:27AAACN2082N1Z8 CIN: U72900MH1995PLC095642 SAC : 998319
For queries and information please contact: PAN/TDS Call Centers
020 - 27218080 tininfo@nsdl.co.in @NSDLeGovernance
020 - 27218081
Income Tax PAN Services Unit (Managed by NSDL)
5th floor, Mantri Sterling, Plot No. 341, Survey No. 997/8, Model Colony, Near Deep Bungalow Chowk, Pune – 411 016
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 NSDLPAN<space>15 digit acknowledgement no. and send it to 57575 or by visiting our website
www.tin-nsdl.com.You are also requested to provide feedback on your experience of PAN service at www.cleanmoney.gov.in
This is a computer generated receipt and does not require signature. Online PAAM 1.2