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Aadhaar Address Change Form Instructions

This document provides a template for certifying Aadhaar enrolment or updates. It includes fields for resident details like name, address, and photo as well as certifier details like name, designation, and signature. The certifier must be a government official and check that details are filled correctly.

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Aditi Singh
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363 views1 page

Aadhaar Address Change Form Instructions

This document provides a template for certifying Aadhaar enrolment or updates. It includes fields for resident details like name, address, and photo as well as certifier details like name, designation, and signature. The certifier must be a government official and check that details are filled correctly.

Uploaded by

Aditi Singh
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/Update Form

CERTIFICATE FOR AADHAAR ENROLMENT/ UPDATE

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

To be printed on plain A4 paper size; Not required to print on letter heod:

Resident's Details

Resident Non-Resident Indian (NRI) New Enrolment Update Request

Aadhaar Number:
IFor update only)

Full Name:

c/o:

House No./ Bldg-/ Apt:

Street/ Road/ Lane:

Landmark:

Area/ Locality/ Sector:

village/Town/ City:

Post Office:

District:
Resdent's Recent

State: Colour Photograph


3.5cm x 4.5 cm

by the Certiier.

PIN Code: NB: DO NOT


oVERLAP wiTH
TEXT BOXES
Signature of the Resident/
Date of Birth:
Thurnb/ Finger Impression

Certifier's Details (To be filled by the certifier Only)


Name of the Certifier:

Designation:

Office Address:

Contact Number:

Ihereby certify above mentioned details of the resident Checklist for Certifier
and Iam a... (Tick appropriate box below) No overwriting D issue date is filed DResident's signature DCertifier's details
Gazetted Officer -Group A DResident's Photo is cross signed and cross stamped (paper to photo or photo to paper)
Village Panchayat Head or Mukhiya
Gazetted Officer -Group B
MP/ MLA/ MLC/ Muncipal Councilor
Tehsildar

Head of Recognized Educational Institution


Superintendent/ Warden/ Matron/ Head of Institution
of Recognized shelter homes/ Orphanages
Sgnature &Stamp of the Cert1her
EPFO officer
NOTE: This format is applicable for POt documents at Si. Nos. 17, 20, 21, 22, 31 & 32: POA documents at SI. Nos. 23, 24, 37, 38, 44 & 4S; POR documents at SI. Nos. 13
& 14 DOB documents at SI. Nos. 4, 5, 14 & 15 of Schedule ll of the Aadhaar (Enroiment and Update) Regulations, 2016, as amended from time to time.

Instructions: All details to be illed in Block Letters To be printed on plain A4 paper size; Aadhaar Number: IFor update o

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