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Application Form Adhar

The document is an Aadhaar update form for an individual named Manish, requesting a demographic update of his date of birth. It includes details such as the appointment date, required documents, and confirmation of residency in India. The application is submitted under the Aadhaar Act, 2016, and emphasizes the need for original documents during the update process.

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mannumanish045
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0% found this document useful (0 votes)
38 views1 page

Application Form Adhar

The document is an Aadhaar update form for an individual named Manish, requesting a demographic update of his date of birth. It includes details such as the appointment date, required documents, and confirmation of residency in India. The application is submitted under the Aadhaar Act, 2016, and emphasizes the need for original documents during the update process.

Uploaded by

mannumanish045
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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 : 05-07- Application Type :
Aadhaar Number : 385171538652
2025 UPDATE
Fields to be updated in [ Date of birth, ]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: MANISH
Date Of 05-09-2006
Birth/Age:
Documents to Carry:

Bring original documents for


Enrolment/Update. No photocopy
required.
Original documents are scanned and Appointment Id: 1751719706433
given back to you. Aadhaar Seva
Carry/Bring appointment print copy. Building M808, Ground
Kendra Address:
Floor, Khandari Bypass
Proof of date of birth: Road, Near Sagar Ratna,
Birth Certificate issued by Authorized Authority (in Agra-UP-282003.
the respective States) under the Registration of Births Appointment 08-07-2025 (12:00)
and Deaths Act, 1969 read with Registration of Births Date and Time:
and Deaths Rules 1999/2000/2002 of respective States Service Type: Demographic Update ( Date of
birth, )
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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