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Hof 99

This document is a self-declaration from Hiralal Rabi Das, affirming that Montiya Rabidas, his wife, resides with him at the same address and he agrees to share his Aadhaar address for her update. It includes a declaration of the correctness of the information provided and the consequences of any false information. The document is valid for updating Aadhaar addresses for a period of three months from the date of issue.

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338 views1 page

Hof 99

This document is a self-declaration from Hiralal Rabi Das, affirming that Montiya Rabidas, his wife, resides with him at the same address and he agrees to share his Aadhaar address for her update. It includes a declaration of the correctness of the information provided and the consequences of any false information. The document is valid for updating Aadhaar addresses for a period of three months from the date of issue.

Uploaded by

myvipkbz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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SELF-DECLARATION FROM THE HEAD OF FAMILY (HOF) FOR SHARING ADDRESS

WITH IMMEDIATE FAMILY MEMBER RESIDING AT THE SAME ADDRESS

HIRALAL RABI DAS


I, _________________________________________________ (Name as in Aadhaar), resident
KHALISABHITA MUSLIMPARA,PO-KHALISABHITA,DIST-GOALPARA,ASSAM,783330
of _________________________________________________________________________

____________________________________________________________________ (Address

as provided in Aadhaar) holding Aadhaar Number___________________________________,


269337752504 do

hereby solemnly affirm and declare as under:-

i. That resident Mr./Ms._____________________________


MONTIYA RABIDAS holding Aadhaar number
881196455553
_______________________ is related to me as my __________________________
WIFE

___________________________ (Please specify the relation with applicant) and is

residing with me at the above mentioned address.

ii. That I agree to share my address in my Aadhaar with Mr./Ms. __________________


MONTIYA RABIDAS

_____________________ 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.


MONTIYA RABIDAS
___________________________ 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 Acts and Rules, etc.

Date 13/07/2025
 Name & Signature of Head of the Family (HoF)

Note:
1. 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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