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Aadhaar Update Form for Address Change

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

Aadhaar Update Form for Address Change

Uploaded by

soumita.das789
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 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 : 05-12- Application Type :
Aadhaar Number : 218837955131
2024 UPDATE
Fields to be updated in [ Address, ]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: MANORAMA ROY
Date Of 18-11-1986
Birth/Age:
Address C/O Pratulkumar Roy, 683 RANGIN/
Talpukur road, Kamarshala, Saheb
bagan, Sarsuna, Sarsoona, South 24
Parganas , West Bengal, 700061
Guardian
Name:
Guardian Appointment Id: 1733394800437
Aadhaar: Aadhaar Seva Asyst Park, Salt Lake, Sector-
Documents to Carry: Kendra Address:
v, Block GN-37/1, Kolkata-
700091
Appointment Date
Bring original documents for 05-12-2024 (16:00)
and Time:
Enrolment/Update. No photocopy required. Service Type: Demographic Update ( Address, )
Original documents are scanned and given Payment Type: Online
back to you. Payment Status: Success
Carry/Bring appointment print copy.

Proof of address:
Certificate issued on UIDAI Standard Certificate format
by: MP/ MLA/ MLC/ Municipal Councillor
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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