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)
Submission Date : 15-01-                                           Application Type :
                                Aadhaar Number : 368938922839
2025                                                               UPDATE
Fields to be updated in [Name, ]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
              Applicant Details                          Appointment Details
 Resident Type:           RESIDENT
 Full Name:               SAHENUR KHATON
 New Full                 SAHENUR KHATUN
 Name:
 Date Of                  05-03-2000
 Birth/Age:
 Documents to Carry:
       Bring original documents for
       Enrolment/Update. No photocopy required.               Appointment Id:   1736935795754
       Original documents are scanned and given               Aadhaar Seva      Ground floor, Mallar
       back to you.                                           Kendra Address:
       Carry/Bring appointment print copy.                                      Mukherjee Building, Holding
                                                                                No.22/19/18. S.B. Sarani ward
 Proof of identity:                                                             no. XI Rajni Bagan(North),
 PAN Card/e-PAN Card                                                            Siliguri, West Bengal, Pin-
                                                                                734001
                                                              Appointment Date
                                                                               16-01-2025 (15:30)
                                                              and Time:
                                                              Service Type:    Demographic Update ( Name, )
                                                              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.