Manisha Tamrakar
Manisha Tamrakar
FORM
Proof of identity:
Passport of Nepal/Bhutan for Nepal/ Bhutan nationals.
In case Passport is not available, any two of the
following documents having same address may be
submitted :- a. Nepalese/ Bhutanese Citizenship
Certificate b. Voter Identity Card issued by the Election
Commission of Nepal/ Bhutan c. Limited validity Photo
Identity Certificate issued by Nepalese Mission/ Royal
Bhutanese Mission in India
Proof of address:
Valid Registered Sale Agreement/ Registered Gift Deed
in Registrar office/ Registered or Non Registered Rent/
Lease Agreement / Leave and License Agreement
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.