Certificate For Aadhar Enrolment / Update

CERTIFICATE FOR ADDHAAR ENROLMENT/ UPDATE

Instructions: All details to be filled in block Letters.

To be Valid for 3 monthsfrom the date of issue

To Be printed on Plan A4 Paper size.

Not required to print on letter head

Resident's Details

Resident.

Non-Resident Indian(NRI).

New Enrolement.

Update Request.

Aadhaar Number: (For Update Only)

Full Name:

C/O:

House No./Bldg./Apt:

Street./Road./Lane:

Landmark:

Area./Locality./Sector:

Village./Town./City:

Post Office:

District:

State:

Pin Code:

Date Of Birth:

Signature Of the Resident/Thumb/Finger Impression.

Resident's Recent
Color Photograph 3.5CM X 4.5CM
Cross Signed and
Cross Stamped
by the Certifier.
NB:DO NOT
OVERLAP WITH
TEXT BOXES.

Certifier's Details:-(To be Filled by the certifier only).

Name Of the Certifier:

Designation:

Address:

Contact Number:

I hereby Certify above mentioned details of the resident
and I am a....(The appropriate box below)

Note:This format is applicable PDI documents at 51.Nos.17,20,21,22,23 & 31;POA documents at 51 Nos.23,2437,38 & 44,POR documents at SI.Nos. 13 &14 DOB documents at 51.Nos.4,5 & 14 of scheduled II of the Aadhaar( Enrolement and Update) Regulations,2016 as amended from time to time.

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