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Aadhaar Self Declaration Form

This self-declaration document is for an individual seeking to update their date of birth on their Aadhaar card, stating that the current date of birth is incorrect. The individual affirms their residency and provides a reason for the update, along with a commitment to the authenticity of the submitted documents. The declaration includes an acknowledgment of responsibility for any discrepancies that may arise.

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sonowaljp75
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272K views2 pages

Aadhaar Self Declaration Form

This self-declaration document is for an individual seeking to update their date of birth on their Aadhaar card, stating that the current date of birth is incorrect. The individual affirms their residency and provides a reason for the update, along with a commitment to the authenticity of the submitted documents. The declaration includes an acknowledgment of responsibility for any discrepancies that may arise.

Uploaded by

sonowaljp75
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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Self-Declaration

Self-Declaration 1. I, _______ S/D/W/o _____, resident of _____ holding


Aadhaar No…………., do hereby solemnly affirm and declare as under: -
• That the deponent is the resident of the above said address. I/8109/2021
• That the correct date of birth of the deponent is _____and the date of
birth of the deponent is wrongly mentioned in the Aadhaar Card bearing
Aadhaar No………………...as _______.
• That the deponent wants to get his /her date of birth updated in the
Aadhaar Card as ________ instead of ________ even after utilizing the
one-time option for DoB update, for which the deponent is
submitting………... as document proof.
• That the date of Birth in the Aadhaar Card of the deponent was not correct
earlier.
• That the deponent further declares that no document in support of proof
of birth was submitted by him at the time of Aadhaar Enrolment. However,
if so submitted, the document submitted at the time of updating is not the
same as the one submitted at the time of Aadhaar Enrolment.

Kindly select whichever are applicable (ü):

S. No Parameter Selection
Current DoB update request is the 1st request for DoB
(i) update
Current DoB update request is second (or greater) request
(ii) for DoB

Date of birth mentioned in the Aadhaar Card at the time of


Aadhaar Enrolment was declared/ approximate and was
(iii) not verified

Date of birth mentioned in the Aadhaar Card at the time of


Aadhaar Enrolment was Verified and was not
(iv) declared/approximate
That the undersigned undertakes that if the document submitted in proof of
date of birth is found to be fraudulent/false/forged/non-genuine, the
corresponding Aadhaar number may be deactivated as per Rule 28 of the
Aadhaar (Enrolment and Update) Regulations, 2018.

I hereby declare that all the information mentioned above is true to the best of
my knowledge and belief. In case of any discrepancies if arises, the undersigned
will be personally held responsible.

Date: Name & Signature of Residents


(Parent/Guardian in case of Minor)

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