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Application Form 11102012
Application Form 11102012
This form is used for sending Update/Correction /Correction Requests through Post. Use capital letters only. Fill the complete form irrespective of the field/s for update/correction update/correction. Providing mobile number is mandatory for Update/Change in any of the fields.
Aadhaar No. (Please provide accurate 12-digit digit Aadhaar number here): | | | | | | | | | | | | | Field Residents Name Gender Date of Birth Address C/O Details
Guardian/ Parent/Spouse Name House / Bldg./Apt. Street/Road/Lane Landmark Area/locality/sector Village/Town /City District Post Office State PIN CODE
Select (
| DD | MM | YYYY |
Select (
NAME
| | | | | | | E Mail (optional)
Mobile No (mandatory) | | | | | | | | | | |
Document Details (Write rite Names of the documents attached. Refer Annexure I for Valid documents) a. POI b. DOB c. POA
I confirm that I have read the instructions carefully and the information provided by me to the UIDAI and the information inf contained herein is true, correct and accurate. Applicants signature/Thumbprint signatur