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Juned

This document is a self-declaration by Juneo Juber Khan, affirming his relationship with his wife, Shurhida Juned Kyan, for the purpose of updating their Aadhaar addresses. He agrees to share his address for this update and acknowledges the legal implications of providing false information. The declaration is valid for three months from the date of issue.

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anurag96singh
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232 views1 page

Juned

This document is a self-declaration by Juneo Juber Khan, affirming his relationship with his wife, Shurhida Juned Kyan, for the purpose of updating their Aadhaar addresses. He agrees to share his address for this update and acknowledges the legal implications of providing false information. The declaration is valid for three months from the date of issue.

Uploaded by

anurag96singh
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 FROM THE HEAD OF FAMILY (HOF) FOR SHARING

WITH IMMEDIATE FAMILY MEMBER RESIDING AT THE SAME No) b) Taso)


Py oe

=
I,
JUNEO JUBER KHAN (Name as in Aadhaar), resident

of ROOM No-05 AMBAD LINK ROAD BAIRANG


MAHARASHTRA 177 °UR cress
CHUNCHALE SHTYAR NASHIK

as provided in Aadhaar) holding Aadhaar Number. 7.0 44 3S 34 i , aa

hereby solemnly affirm and declare as under:-

i: That resident Mr./Ms. SHURHIDA IUNED KYAN holding Aadhaar number

$34% 4296 S404 is related to me as my WIFE -

(Please specify the relation with applicant) and is

residing with me at the above mentioned address.

my Aadhaar with Mr./Ms. SUR AID A


ii. That |
agree to share my address in

JUN ED KAN for updating his/her address in Aadhaar in my capacity of

Head of the Family (HoF).

iii. That the undersigned undertakes that, the above mentioned information is correct

to the best of my knowledge and belief and at any point of time if any of the said

information is found to be incorrect/fraudulent/false, the Aadhaar of Mr/Ms.

SHRHIOF SUNEO KXAN. and mine can be deactivated and legal action

may be
initiated against me, as per the provisions of the Aadhaar (Targeted Delivery

of Financial and Other Subsidies, Benefits and Services) Act, 2016 (18 of 2016) and,

Regulations framed there under and other applicable Actg a ules, etc.

ED KAN
Date 1/aa)202S . Name & Signature of Head of the Family (HoF

Note:
4. This document is valid for Head of Family (HoF) based Aadhaar address update purpose only.
2. This document is valid for 3 months from date of issue

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