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Adhaar Application Form

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ishitak1504
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0% found this document useful (0 votes)
71 views1 page

Adhaar Application Form

Uploaded by

ishitak1504
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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1/25/24, 11:04 PM about:blank

AADHAAR UPDATE FORM

भारतीय विशिष्ट पहचान प्राधिकरण भारत सरकार


Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND
SERVICES) ACT,2016 (Aadhaar Act)
Application Type :
Submission Date : 25-01-2024 Aadhaar Number : 765003567503
UPDATE
Fields to be updated in [ Mobile, Date of birth, Email, Biometric(photo/fingerprint/Iris)]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: ISHITA
Date Of 04-09-2004
Birth/Age:
Email ishitak1504@gmail.com
Mobile Number: 8765229229
Documents to Carry:

Bring original documents for Enrolment/Update.


No photocopy required. Appointment Id: 1706203780190
Original documents are scanned and given back to Aadhaar Seva Ground Floor, Ratan Square Mall,
you. Kendra Address: Lucknow
Appointment Date
27-01-2024 (14:30)
Proof of date of birth: and Time:
Birth Certificate issued by Authorized Authority (in the Service Type: Mandatory Biometric Update With Paid (
respective States) under the Registration of Births and Deaths Mobile, Date of birth, Email,
Act, 1969 read with Registration of Births and Deaths Rules Biometric(photo/fingerprint/Iris) )
1999/2000/2002 of respective States Payment Type: Online
Payment Status: Success
Disclosure under section 3(2) of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND
OTHER SUBSIDIES, BENEFITS AND SERVICES) ACT, 2016
I confirm that I have been residing in India for at least 182 days in the preceding 12 months / I am Non Resident Indian (NRI) &
information (including biometrics) provided by me to the UIDAI is my own and is true, correct and accurate. I am aware that my
information including biometrics will be used for generation of Aadhaar and authentication. I understand that my identity information
(except core biometric) may be provided to an agency only with my consent during authentication or as per the provisions of the
Aadhaar Act. I have a right to access my identity information (except core biometrics) following the procedure laid down by UIDAI.

Verifier's Stamp and Signature Applicant's Signature/Thumbprint


(Verifier must put her/his name if stamp is not avaliable.)

Note: In case of Child(< 5 Yrs) or Guardian based application, Guardian/Relative will be required to accompany the applicant. In case
of incapacitated person, the signature will be done by Legal Guardian of Incapacitated Person.

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