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Abdul A

The document outlines the requirements for filling out a form for new enrollment or update requests for Aadhaar, specifically for residents and Non-Resident Indians (NRIs). It includes sections for personal details such as name, address, and certifier information, along with a checklist for certifiers to ensure all necessary information is provided. The format is applicable for various POI, POA, and DOB documents as per the Aadhaar regulations.

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harshitsaini2126
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116 views1 page

Abdul A

The document outlines the requirements for filling out a form for new enrollment or update requests for Aadhaar, specifically for residents and Non-Resident Indians (NRIs). It includes sections for personal details such as name, address, and certifier information, along with a checklist for certifiers to ensure all necessary information is provided. The format is applicable for various POI, POA, and DOB documents as per the Aadhaar regulations.

Uploaded by

harshitsaini2126
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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/nsfrurhbnsr Alldetails to befilled in Block Lptt€rs (To be vdlid for 3 monthsitan dote oJ i\sue)

ra be printed on ploin 44 paper s)24 Not required to print an letter head; lg lo 2sL9

Resident Non-Resident lndian {NRl) New Enrolment pdate Request

Aadhaar Number o
(For !ipdate only)
6
Full Name:

C/o:

House No./ Bldg./ Apt:

Street/ Road/ Lane: oAD


[andmark:

Area/ Locality/ Secto

Village/ Town/ city:


L1

Post Offr.e:
A EHR
District: SA A
State: A

PIN Code: q ,il+


srcnature of the ResidenV
Date of Birth: 0t lq?. Thumb/ nnger lmpresion

Name ofthe Certifier


o o

Designa6oni
A A
Office Address:
AR

Contact Number:

I hereby certity above mentioned details ofthe resident Checklist for Certifier
and I am a.... (Tick appropriate box below) E No overwrifirc E] Irsue date is filled ElResidert's sisnatLrre Elcertifier's details

Gazetted Officer - Group,A El Residenfs Photo is cros5 signed and cross sta mped (pdpet to photo ar photo to pdpet)
n
Z Village Panchayat Head or Mukhiya

n Ga2etted officer - Group B

lrelTq
I H,4p/ ura/ vrc/ vuncipal councilor
g,ne'vf vqq..tqrffi-T6$S ii-sf
I tehsitdar
;qrq.wrqf,-6{lg[
f Head of Recognized Educational lnsdtution
Ho so g'qrr6l {vocSl)
f superintendent/ Warden/ Matron/ Head of lnstitution
of Recognized shelter homes/ Orphanages
Srgratur€ & St.np of rhe Certifier
f tcro o*ice,
NOTE: This format is appllcable for POI documents at Sl. Nos. 17, 20, 21, 22, 31 & 32j POA documents at Sl. Nos. 23, 24, 37, 38, 44 & 45; POR documents at Sl. Nos. 13
& 14DOB documentsat S. Nos.4,5,14 & 15 ofSchedule llof the Aadhaa. (Enrolmentand Updite)Regulations,2016, as amended from hme totme-

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