Received Rs. 110 (inclusive of applicable taxes) From
Application form 49 A Sr no
Date of receipt
Processing fee Coupon no

Service-tax Regn no: (ST/BAS/STC/BEL/420/2004-2205
PAN Service Center Code:
PAN Service Center Name :

Autorised Signatory(With date stamp)

For knowing the PAN you may visit our website : http://www.utisl.com. Any query/corresponance in this connection may be addressed by quoting the Application number/processing fee coupon Number to the address given below:
Navi Mumbai
UTI Infrastructure Technology & Services Ltd. P.B No. 20, Plot No.3, Sector-11, CBD-Belapur, Navi Mumbai-400614 Telephone :(022) 67931399 Email Id: utitsl.gsd@utitsl.com
New Delhi
UTI Infrastructure Technology & Services Ltd. Ground Floor, Jeevan Tara Building Opp. Patel Chowk Metro Station 5, Parliment Street, New Delhi-110001
Telephone:(011)23741282-86 Fax:(011)23741280 Email Id:pan.delhi@utiltsl.com
Kolkata
UTI Infrastructure Technology & Services Ltd. Netaji Subhas Road,Ground Floor, Opp. Giliander House & Standard Chartered Bank, Kolkata-700001 Telephone:(033)22108959, 2242-4774/4810/4783 Fax:(033)22435217 Email Id:kolkata@utilil.com.pan.kolkata@utilisl.com
Chennai
UTI Infrastructure Technology & Services Ltd. Justice Basheer Ahmed Building, Second Floor, Second Line Beach , Chennai-600001 Telephone:(033)25241224/1265/1356 Fax:(044)25341346 Email Id:chennai@utilsl.com/sw.chennai@utilsl.com

AAYKAR SAMPARK KENDRA (ASK) -Telephone : 0124-2438000