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The document is an Aadhaar enrolment form for an applicant named Sagar, scheduled for an appointment on June 9, 2025. It outlines the required personal details, documents needed for enrolment, and confirms the applicant's residency status and accuracy of information provided. The form emphasizes that Aadhaar enrolment is free and voluntary, and includes a disclosure regarding the use of personal information.

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saikodon779
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27 views2 pages

About Blank

The document is an Aadhaar enrolment form for an applicant named Sagar, scheduled for an appointment on June 9, 2025. It outlines the required personal details, documents needed for enrolment, and confirms the applicant's residency status and accuracy of information provided. The form emphasizes that Aadhaar enrolment is free and voluntary, and includes a disclosure regarding the use of personal information.

Uploaded by

saikodon779
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 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 : 07-06-
2025
Application Type : Enrolment
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: SAGAR
Date Of 26-04-2005
Birth/Age:
Address C/O Suresh, Graun flor dagra
apartment/ Male, Delhi, Aya Nagar,
Aya Nagar, South Delhi , Delhi, 110047
Email singhsagar67114@[Link]
Mobile 9266534742
Number:
Gender: Male Appointment Id: 1749247243096
Aadhaar Seva Aadhaar Seva
Documents to Carry: Kendra Address:
Kendra,Ground Floor,
Dhaula Kuan Metro
Bring original documents for Station,Dhaula Kuan
Enrolment/Update. No photocopy required.
Original documents are scanned and given Enclave1, Dhaula Kuan,New
back to you. Delhi pincode-110010
Carry/Bring appointment print copy. Appointment Date 09-06-2025 (09:00)
and Time:
Proof of identity:
Pensioner Photo Identity Card / Freedom Fighter Photo
Identity Card / Pension Payment Order issued by
Central Govt./ State Govt./ PSU/ Regulatory Bodies/
Statutory Bodies
Proof of date of birth:
Mark sheet/ Certificate issued by recognized Board of
Education/ University
Proof of address:
ST/ SC/ OBC Certificate issued by Central Govt./ State
Govt.
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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