Aadhaar Enrolment Form for Residents
Uploaded by
sabitarokaya031Aadhaar Enrolment Form for Residents
Uploaded by
sabitarokaya031AADHAAR 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 : 24-12-
Application Type : Enrolment
2024
Applicant Details Appointment Details
Resident Type: RESIDENT
Full Name: KEUDI DEVI THAPA
Date Of 01-02-1960
Birth/Age:
Address C/O KALU DHAMI, 31, GROUND
FLOOR,NOVELTY MANSION/ 2ND
CROSS,4TH BLOCK, NEAR KUMARA
PARK, SHESADIPURAM,
Seshadripuram, Seshadripuram,
Bengaluru , Karnataka, 560020
Gender: Female
Appointment Id: 1735053556153
Documents to Carry: Aadhaar Seva Grand Majestic Centre,
Kendra Address:
No.12, 2nd Cross Road, SC
Bring original documents for Road, Gandhi Nagar,
Enrolment/Update. No photocopy required. Bengaluru - 560009
Original documents are scanned and given Appointment Date
12-02-2025 (11:00)
back to you. and Time:
Carry/Bring appointment print copy.
Proof of identity:
Ration /PDS Photograph Card/e-Ration Card
Proof of date of birth:
Birth Certificate issued by Authorized Authority (in the
respective States) under the Registration of Births and
Deaths Act, 1969 read with Registration of Births and
Deaths Rules 1999/2000/2002 of respective States
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.
