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The document is an Aadhaar update form for an individual named Dibakar Badyakar, requesting updates to address and biometric information. It includes details such as appointment date, required documents, and payment status. The applicant confirms the accuracy of their identity and address, and acknowledges the use of their information for Aadhaar generation and authentication.
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0% found this document useful (0 votes)
39 views1 page

About Blank

The document is an Aadhaar update form for an individual named Dibakar Badyakar, requesting updates to address and biometric information. It includes details such as appointment date, required documents, and payment status. The applicant confirms the accuracy of their identity and address, and acknowledges the use of their information for Aadhaar generation and authentication.
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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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 : 30-05- Application Type :
2025
Aadhaar Number : 832566209033 Express
Fields to be updated in [ Address, Biometric(photo/fingerprint/Iris)]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: DIBAKAR BADYAKAR
Date Of 29-09-2015
Birth/Age:
Address C/O Jhantu Badyakar, Jambari/
Gosanimari, Dinhata, Jambari,
Gossanimari, Cooch Behar , West
Bengal, 736145
Guardian Debika Badyakar
Name:
Guardian 855982590812 Appointment Id: 1748613380767
Aadhaar: Aadhaar Seva Ground Floor, Ward BSNL
Documents to Carry: Kendra Address:
Administrative Building,
Near Sagar Dighi, Post Office
Bring original documents for Cooch Behar, West Bengal
Enrolment/Update. No photocopy required. 736101
Original documents are scanned and given Appointment Date 05-06-2025 (13:50)
back to you. and Time:
Carry/Bring appointment print copy. Service Type: Mandatory Biometric Update With
Paid ( Address,
Biometric(photo/fingerprint/Iris) )
Proof of Birth Certificate issued by Authorized Payment Type: Online
relation: Authority (in the respective States) Payment Status: Success
under the Registration of Births and
Deaths Act, 1969 read with
Registration of Births and Deaths
Rules 1999/2000/2002 of respective
States
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.

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