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 : 28-01- Application Type :
Aadhaar Number : 492505019343
2024 Express
Fields to be updated in [ Address, ]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details
Resident Type: RESIDENT
Full Name: KARN
Date Of 01-01-2008
Birth/Age:
Address C/O RUDALPASWAN, 66e/ Jagatpur
Market, Baguati, Nabalakhi math,
Aswini Nagar, Aswini Nagar, North 24
Parganas , West Bengal, 700159
Guardian
Baiju Kumar Paswan
Name:
Guardian 699205593880 Appointment Id: 1706423426240
Aadhaar: Aadhaar Seva Asyst Park, Salt Lake, Sector-
Documents to Carry: Kendra Address:
v, Block GN-37/1, Kolkata-
700091
Appointment Date
Bring original documents for 28-01-2024 (14:40)
and Time:
Enrolment/Update. No photocopy required. Service Type: Demographic Update ( Address, )
Original documents are scanned and given Payment Type: Online
back to you. Payment Status: Success
Proof of Self Declaration from the Head of
relation: Family (HoF) certifying the
relationship with the resident
residing at the same address as HoF,
valid only for borrowing address of
HoF. (To be used only for address
update of immediate family
member/members of HoF)
I hereby confirm the identity and address of (HOF/Relative Name) (auto populates) as being
true, correct and accurate.
HOF s Name: Signature of HOF
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.
