& sas wee ‘ANN. ey on Please use CAPITAL letters (rem we str a?) AADHAARIenrolment number: Date (Raia): omar, eT Part A~ Primary Deals! (9) sree orrat Name: (om Mather Father, Husband, Guardian's Name wo Rm os (Name of MotnerFatheriGuaraian is must for chidren below § years of age) (5 a4 8 en gw 8 coal fot n/Ra/as OH FE 8) Date of Bit not known, Age: i fe 8, Be Gender: Mate Female (> Transgender fe a Residential address: rah c= clo: House No. and name: sv 1 mo ‘Sieet No. and name: shew /wa ow oe Landmare yer wa YVlage I City: 04a, Distet: fn State: 32 Pin code: fe ste Part B- Additional Information / (a) (1 ser8) Phone No. / Mobile No. (optional) / abe (ra Email(optional) (seit Pad Financial Information 2) (9 sre) [want to tink my existing bank Ac to Aadhaar and I have no objection on this issue. sree Pe ser Bs wh aro he She Ray ome Ge gm AS AME fa a Bank name and Branch (faa sm x) ‘Ne No. (te