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The document is an Aadhaar update form for an individual named Arup Sarkar, requesting updates to their address and biometric information. The appointment for the update is scheduled for December 17, 2023, at a designated Aadhaar Seva Kendra in Cooch Behar, West Bengal, with successful online payment confirmed. The applicant acknowledges their residency status and the accuracy of the information provided, as per the Aadhaar Act.

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

Download

The document is an Aadhaar update form for an individual named Arup Sarkar, requesting updates to their address and biometric information. The appointment for the update is scheduled for December 17, 2023, at a designated Aadhaar Seva Kendra in Cooch Behar, West Bengal, with successful online payment confirmed. The applicant acknowledges their residency status and the accuracy of the information provided, as per the Aadhaar Act.

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amibiki836
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We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd

12/1/23, 11:33 PM about:blank

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)
Application Type :
Submission Date : 01-12-2023 Aadhaar Number : 476550358453
UPDATE
Fields to be updated in [ Address, Biometric(photo/fingerprint/Iris)]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: ARUP SARKAR
Address C/O JOGENDRA NATH SARKAR, VILL-
MAHISHKUCHI, P.O- MAHISHKUCHI/
P.S- BOXIRHAT, Mahishkuchi, Bhainskuthi,
Cooch Behar , West Bengal, 736131
Documents to Carry:

Bring original documents for Enrolment/Update.


No photocopy required.
Appointment Id: 1701453410476
Original documents are scanned and given back to
Aadhaar Seva Ground Floor, Ward BSNL
you.
Kendra Address: Administrative Building, Near
Proof of address:
Sagar Dighi, Post Office Cooch
ST/ SC/ OBC Certificate issued by Central Govt./ State Govt. Behar, West Bengal 736101
Appointment Date
17-12-2023 (11:20)
and Time:
Service Type: Mandatory Biometric Update With Paid (
Address, Biometric(photo/fingerprint/Iris)
)
Payment Type: Online
Payment Status: Success
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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