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Aadhar Appointment

Aadhar appointment slip

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sabitarokaya031
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0% found this document useful (0 votes)
75 views1 page

Aadhar Appointment

Aadhar appointment slip

Uploaded by

sabitarokaya031
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

AADHAAR ENROLMENT

FORM

(Aadhaar Enrolment is free &


भारतीय विशिष्ट पहचान प्राधिकरण भारत सरकार Voluntary)
Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND
SERVICES) ACT,2016 (Aadhaar Act)
Submission Date : 19-11-
Application Type : Enrolment
2024
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: HARINA BHATT
Date Of 18-06-1990
Birth/Age:
Address C/O bhan dev bhatt, 22/ Sheikhpura,
rukanpura, Rukanpura, B.v. College,
Patna , Bihar, 800014
Gender: Female
Documents to Carry:
Appointment Id: 1731999803354
Bring original documents for Aadhaar Seva Grand Majestic Centre,
Enrolment/Update. No photocopy required. Kendra Address:
No.12, 2nd Cross Road, SC
Original documents are scanned and given
back to you. Road, Gandhi Nagar,
Carry/Bring appointment print copy. Bengaluru - 560009
Appointment Date
19-11-2024 (14:10)
and Time:
Proof of identity:
Voter Identity Card Card/e-Voter Identity Card
Proof of date of birth:
Pensioner Photo Identity Card / Freedom Fighter Photo
Identity Card / Pension Payment Order issued by
Central Govt./ State Govt./ PSU/ Regulatory Bodies/
Statutory Bodies
Proof of address:
Voter Identity Card Card/e-Voter Identity Card
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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