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WWW - Chennaipost.gov - in PDF DoP AadhaarForm
WWW - Chennaipost.gov - in PDF DoP AadhaarForm
Please follow the instructions overleaf while filling up the form. Use capital letters only.
Gender:
:
Male (
) Female ( ) Transgender ( )
Yrs
Street/Road/Lane
Village
City
Taluk
District
State
Post Office
PIN CODE | | | | | | |
Mobile No | | | | | | | | | | |
E Mail
Details of : Name
Father (
) Mother (
) Husband (
) Wife (
Guardian ( )
()
EID
6 7 8
Introducers name:
Aadhaar No. | | | | | | | | | | | | |
OR
I have no objection to the UIDAI sharing information provided by me to the UIDAI with agencies engaged in delivery of welfare services.
UIDAI- , , .
YES ( ) NO ( )
/
- /
PO Name
A/C No.
YES ( ) NO ( )
- /
b. POA
c. DOB
d.
Declaration /
The information provided by me is true to the best of my Knowledge and belief /
. ,
Applicants signature
Column 5 REALTIONSHIP
Column 9 Resident may specifically express willingness / unwillingness by selecting the relevant box. CONSENT Column 10 Resident having Post Office Savings Bank Account may select the relevant category of account and provide account POSB ACCOUNT number with name of the Post Office. Resident having NREGS account may also provide Job card number. Column 11 Please select the appropriate box. PLI/RPLI List A. POI documents List B. POA documents
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Passport PAN Card Ration/PDS Photo Card Voter ID Driving License Government Photo ID Cards NREGS Job Card Photo ID issued by Recognized Educational Institution Arms License Photo Bank ATM Card Photo Credit Card Pensioner Photo Card Freedom Fighter Photo Card Kissan Photo Passbook CGHS / ECHS Photo Card Address Card having Name and Photo issued by Department of Posts Certificate of Identity having photo issued by Group A Gazetted Officer on letterhead 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Passport Bank Statement/Passbook Post Office Account Statement/Passbook Ration Card Voter ID Driving License Government Photo ID Cards Electricity Bill (not older than 3 months) Water Bill (not older than 3 months) Telephone Landline Bill (not older than 3 months) Property Tax Receipt (not older than 3 months) Credit Card Statement (not older than 3 months) Insurance Policy Signed Letter having Photo from Bank on letterhead Signed Letter having Photo issued by Recognized Educational Institution on letterhead 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. NREGS Job Card Arms License Pensioner Card Freedom Fighter Card Kissan Passbook CGHS / ECHS Card Certificate of Address having photo issued by MP or MLA or Group A Gazetted Officer on letterhead Certificate of Address issued by Village Panchayat head or its equivalent authority (for rural areas) Income Tax Assessment Order Vehicle Registration Certificate Registered Sale / Lease /Rent Agreement Address Card having Photo issued by Department of Posts Caste and Domicile Certificate having Photo issued by State Govt.