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Aadhaar Address Sharing Declaration Form

This document is a self-declaration from Abdul Based Miya, affirming his relationship with Joynab Bibi, who resides with him at the same address and is his wife. He agrees to share his address for updating her Aadhaar information and acknowledges the legal implications of providing false information. The document is valid for Aadhaar address updates for three months from the date of issue.

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17 views1 page

Aadhaar Address Sharing Declaration Form

This document is a self-declaration from Abdul Based Miya, affirming his relationship with Joynab Bibi, who resides with him at the same address and is his wife. He agrees to share his address for updating her Aadhaar information and acknowledges the legal implications of providing false information. The document is valid for Aadhaar address updates for three months from the date of issue.

Uploaded by

rofikak381
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

SELF-DECLARATION FROM THE HEAD OF FAMILY (HOF) FOR SHARING ADDRESS

WITH IMMEDIATE FAMILY MEMBER RESIDING AT THE SAME ADDRESS

ABDUL BASED MIYA


I, _________________________________________________ (Name as in Aadhaar), resident
106, NUMBERPARA, NUMBERPARA PART II, DIST- BONGAIGAON ASSAM, PIN- 783392
of _________________________________________________________________________

____________________________________________________________________ (Address
484853870305
as provided in Aadhaar) holding Aadhaar Number___________________________________, do

hereby solemnly affirm and declare as under:-

i. That resident Mr./Ms._____________________________


JOYNAB BIBI holding Aadhaar number

_______________________
410187036864 is related to me as my __________________________
Wife

___________________________ (Please specify the relation with applicant) and is


residing with me at the above mentioned address.

JOYNAB BIBI
ii. That I agree to share my address in my Aadhaar with Mr./Ms. __________________

_____________________ for updating his/her address in Aadhaar in my capacity of

Head of the Family (HoF).

iii. That the undersigned undertakes that, the above mentioned information is correct

to the best of my knowledge and belief and at any point of time if any of the said

information is found to be incorrect/fraudulent/false, the Aadhaar of Mr./Ms.


JOYNAB BIBI
___________________________ and mine can be deactivated and legal action

may be initiated against me, as per the provisions of the Aadhaar (Targeted Delivery

of Financial and Other Subsidies, Benefits and Services) Act, 2016 (18 of 2016) and,

Regulations framed there under and other applicable Acts and Rules, etc.

Date 30/11/2025
 Name & Signature of Head of the Family (HoF)

Note:
1. This document is valid for Head of Family (HoF) based Aadhaar address update purpose only.
2. This document is valid for 3 months from date of issue

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