Acknowledgment for TAN application

ACKNOWLEDGEMENT NUMBER: 88302014555042

Category Branch of Individual Business (Sole Proprietorship Concern) /Hindu Undivided Family (Karta)
Sub Category Branch of Individual Business
Name SHRI S.PAUL HARRIS
Address 2,B
THENUPURI HOUSING COLONY
MADAMBAKKAM
CHENNAI - 600126

Tamil Nadu
Telephone
e-mail ID LAHARRISONSCAFE@GMAIL.COM
AGAPEMISSION.HARRIS@YAHOO.COM

Payment Mode

Credit Card: Your Payment of `65.00(inclusive of Goods & Services Tax) against transaction number 402-326151 has been successfully processed.

I/We, S.PAUL HARRIS in my/our capacity as SOLE PROPRIETORSHIP , do hereby declare that what is stated above is true to the best of my/our
knowledge and belief.

Date: 09-07-2017

Goods & Services Tax Code (Registration Number): 27AAACN2082N1Z8

Signature/ Left Thumb Impression of Applicant (inside the box

without touching the sides and in BLACK INK ONLY)
CIN U72900MH1995PLC095642

Instructions:
1. The acknowledgement number above is your unique reference number for PAN application. Kindly quote this number for tracking the status of
your PAN application on http://tin-nsdl.com or any queries relating thereto.
2. Save and print this acknowledgement.
3. Payment of <font face="Rupee Foradian">`</font> 65.00(<font face="Rupee Foradian">`</font> 55
(a) Demand Draft (DD) to be enclosed alongwith acknowledgment and sent to NSDL.
(b) Cheque - A local cheque (of any bank) to be deposited in any of the HDFC Bank branches across the country (except Dahej).
Please mention name of applicant and acknowledgment number on the reverse of cheque/DD.
(c) Applicants making credit card / debit card payment will be charged an additional surcharge up to 2% of application fee by the
bank providing payment gateway facility.

4. Superscribe the envelope with 'APPLICATION FOR TAN - Acknowledgement Number' (e.g. 'APPLICATION FOR TAN - 881010100000973').

5. Send the documents as specified to NSDL e-Governance Infrastructure Limited, 5th floor, Mantri Sterling, Plot No. 341, Survey No. 997/8, Model
Colony, Near Deep Bungalow Chowk, Pune - 411016 Tel: 020 - 27218080; Fax: 020 - 27218081.
6. Your duly signed acknowledgement, DD if any, should reach NSDL within 15 days from the date of online application.
7. Application will be processed only on receipt of relevant proofs and realisation of payment.