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 : 09-04- Application Type :
Aadhaar Number : 760032275683
2025 Express
Fields to be updated in [ Mobile, Biometric(photo/fingerprint/Iris)]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details
Resident Type: RESIDENT
Full Name: MD ALI NIZAM QURAISHI
Date Of 05-10-2006
Birth/Age:
Mobile
9239395741
Number:
Bring original documents for
Enrolment/Update. No photocopy required.
Original documents are scanned and given Appointment Id: 1744180178578
back to you. Aadhaar Seva Suryasen Park,170 GT Road,
Carry/Bring appointment print copy. Kendra Address:
Kumarpur, Asansol, Opposite
Manoj cinema Hall,
Burdwan 713304
Appointment Date
09-04-2025 (12:00)
and Time:
Service Type: Mandatory Biometric Update With
Paid ( Mobile,
Biometric(photo/fingerprint/Iris) )
Payment Type: Online
Payment Status: Success
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.
