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Aadhaar Address Proof Certificate

This document is a certificate for Aadhaar enrolment or update that can be used as proof of address. It provides identifying information about an individual named Afiffa Anam Mohd Faheem including their name, date of birth, address, and Aadhaar number. The certifier's details are also included to validate the document. This certificate is valid for 3 months from the date of issue.

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0% found this document useful (0 votes)
348 views1 page

Aadhaar Address Proof Certificate

This document is a certificate for Aadhaar enrolment or update that can be used as proof of address. It provides identifying information about an individual named Afiffa Anam Mohd Faheem including their name, date of birth, address, and Aadhaar number. The certifier's details are also included to validate the document. This certificate is valid for 3 months from the date of issue.

Uploaded by

Online Solutions
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

CERTIFICATE FOR AADHAAR ENROLMENT/ UPDATE (TO BE USED ONLY AS PROOF OF ADDRESS*)

Instructions: All details to be filled in Block Letters  (To be valid for 3 months from date of issue)

To be printed on plain A4 paper size; Not required to be printed on letter head; D D M M Y Y Y Y


Resident’s Details
Resident Non-Resident Indian (NRI) New Enrolment Update Request

Aadhaar Number:
(For update only) 6658 0023 2016
Full Name: AFIFA ANAM MOHD FAHEEM

C/o:

House No./ Bldg./ Apt: H.NO. 1-27-59,


Street/ Road/ Lane:
V.I.P ROAD
Landmark:

Area/ Locality/ Sector: QILE ARK KALA DARWAZA


Village/ Town/ City:
AURANGABAD
Post Office: AURANGABAD
District: AURANGABAD Resident’s Recent
State: MAHARASHTRA Colour Photograph
3.5cm x 4.5 cm

Cross Signed and


Cross Stamped
by the Certifier.

PIN Code: 431001 NB: DO NOT


OVERLAP WITH
TEXT BOXES
Signature of the Resident/
Date of Birth: 10 03 2005 Thumb/ Finger Impression

Certіfіer’s Details (To be fіlled by the certіfіer Only)


Name of the Certifier:

Designation:

Office Address:

Contact Number:

I hereby certify above mentioned details of the resident Checklist for Certifier
and I am a.... (Tick appropriate box below) No overwriting Issue date is filled Resident’s signature Certifier’s details
Gazetted Officer - Group A Resident’s Photo is cross signed and cross stamped (paper to photo or photo to paper)

Village Panchayat Head or Mukhiya


Gazetted Officer - Group B
MP/ MLA/ MLC/ Municipal Councillor
Tehsildar
Head of Recognized Educational Institution
Superintendent/ Warden/ Matron/ Head of Institution
of Recognized shelter homes/ Orphanages
Signature & Stamp of the Certifier
EPFO Officer

*To be used as Proof of Identify (PoI) only in specific cases as mentioned in the list of applicable supporting documents.

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