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Adhar Update Form

The document is a certificate for Aadhaar enrolment or update, intended to be used as proof of address. It includes fields for personal details of the individual seeking enrolment or updating their Aadhaar number, as well as sections for certifier information. The certificate must be filled out in block letters, printed on A4 paper, and is valid for three months from the date of issue.

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piyushbholababa
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65 views1 page

Adhar Update Form

The document is a certificate for Aadhaar enrolment or update, intended to be used as proof of address. It includes fields for personal details of the individual seeking enrolment or updating their Aadhaar number, as well as sections for certifier information. The certificate must be filled out in block letters, printed on A4 paper, and is valid for three months from the date of issue.

Uploaded by

piyushbholababa
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

CERTIFICATE FOR AADHAAR ENROLMENT/ UPDATE (TO BE USED ONLY AS PROOF OF ADDRESS*)

Instructions: All details to be filled in Block Letters  (To be valid for 3 months from date of issue)

To be printed on plain A4 paper size; Not required to be printed on letter head; D D M M Y Y Y Y

INDIVIDUAL SEEKING TO ENROL / AADHAAR NUMBER HOLDER DETAILS

Resident Non-Resident Indian (NRI) OCI / LTV/ Nepal / Bhutan National / Foreign National New Enrolment Update Request

Aadhaar Number:
(For update only)

Full Name:

House No./ Bldg./ Apt:

Street/ Road/ Lane:

Landmark:

Area/ Locality/ Sector:

Village/ Town/ City:

Post Office:

District: Individual Seeking to Enrol/


Aadhaar Number Holder
Recent Colour Passport-Size
State: Photograph.

Cross Signed and


Cross Stamped
by the Certifier.

PIN Code: NB: DO NOT


OVERLAP WITH
TEXT BOXES.

Signature/ Thumb/ Finger Impression of


Individual Seeking to Enrol/ Aadhaar Number Holder

CERTIFIER’S DETAILS (TO BE FILLED BY THE CERTIFIER ONLY)


Name of the Certifier:

Designation:

Office Address:

Contact Number:

I hereby certify above mentioned details of the CHECKLIST FOR CERTIFIER


Individual seeking to enrol /Aadhaar number
holder and i am a.... (Tick appropriate box below) No overwriting Issue date is filled Resident’s signature Certifier’s details
Resident’s Photo is cross signed and cross stamped (paper to photo or photo to paper)
MP / MLA / MLC / Municipal Councillor
Gazetted Officer Group ‘A’/ Employees Provident Fund Organisation (EPFO)
Officer
Tehsildar/ Gazetted Officer Group ‘B’
Gazetted Officer at National AIDS Control Organisation (NACO)/State Health
Department / Project Director of the State AIDS Control Society or his nominee
Head of recognised educational institution (only for the institute students
concerned)
Village Panchayat Head/ President or Mukhiya/ Gaon Bura/ equivalent authority
(for rural areas)/ Village Panchayat Secretary/ Village Revenue Officer or Signature & Stamp of ther Certifier
equivalent (for rural areas)

*To be used as Proof of Identify (PoI) only in specific cases as mentioned in the list of applicable supporting documents.

Mera Aadhaar, Meri Pehchaan

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