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AADHAAR UPDATE FORM

भारतीय िविश पहचान ािधकरण भारत सरकार

Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND SERVICES)
ACT,2016 (Aadhaar Act)

Submission Date : 03-02-2020 Aadhaar Number : 908335852742 Application Type : UPDATE

Fields To Be Updated In Aadhaar:Address,
Applicant Details Appointment Details

Resident Type: RESIDENT Logo

Full Name: UMESH GOYAL
C/O Bhagwan Das Goyal, HNO
- 17 PHASE - 2 KHUSHBU
RESIDENCY EXTENSION/
Address
NAUBRI ROAD, Bamrauli
Ahir, Kiraoli, Agra , Uttar
Pradesh, 282009
Documents To Carry:

Registered Sale / Lease /Rent Appointment

Proof Of Address: Id: 1580727687263
Agreement
Shop No 203-
204 ,2nd Floor
Aadhaar Seva ,Corporate Park
Kendra (Behind
Address: Cosmos Mall)
Sanjay Place
,Agra-282002
Appointment
14-02-2020 (14:30)
Date And Time:
Payment Type: Online
Payment Status:Success

Disclosure under section 3(2) of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND
OTHER SUBSIDIES, BENEFITS AND SERVICES) ACT, 2016
I confirm that I have been residing in India for at least 182 days in the preceding 12 months / I am Non Resident Indian (NRI) & information
(including biometrics) provided by me to the UIDAI is my own and is true, correct and accurate. I am aware that my information including
biometrics will be used for generation of Aadhaar and authentication. I understand that my identity information (except core biometric) may be
provided to an agency only with my consent during authentication or as per the provisions of the Aadhaar Act. I have a right to access my
identity information (except core biometrics) following the procedure laid down by UIDAI.

Verifier's Stamp And Signature Applicant's Signature/Thumbprint

(Verifier Must Put Her/His Name If Stamp Is Not Avaliable.)

Note:In case of Child(< 5 Yrs) or Guardian based application, Guardian/Relative will be required to accompany the applicant. In case of
incapacitated person, the signature will be done by Legal Guardian of Incapacitated Person.

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Instructions
Please reach 15 min early at Aadhaar Seva Kendra and carry printed copy of this Application Form.
Carry all the Document(s) selected while filling up the form.
Get the printed copy of final application form before leaving the center. Also, please fill the feedback form at the exit counter to serve you
better next time.

List Of POI Documents 8. Address Card Having Name And Photo Issued By Department Of Posts
9. Bhamashah Card
1. Passport 10. Discharge Card/ Slip Issued By Government Hospitals For Birth Of A Child
2. PAN Card 11. Certificate Of Ldentity Having Photo Issued By MP Or MLA Or MLC Or
3. Ration/ PDS Photo Card Municipal Councillor Or Gazetted Officer On Letterhead
4. Voter ID 12. Certificate Of Ldentity Having Photo And Relationship With HoF Issued By
5. Driving License 13. Passport
6. Government Photo ID Cards/ Service Photo Identity Card Issued By PSU 14. Birth Certificate Issued By Registrar Of Birth, Municipal Corporation And
7. NREGS Job Card Other Notified Local Government Bodies Like Taluk, Tehsil Etc.
8. Photo ID Issued By Recognized Educational Institution
9. Arms License List Of POA Documents
10. Photo Bank ATM Card
11. Photo Credit Card 1. Passport
12. Pensioner Photo Card 2. Bank Statement/ Passbook
13. Freedom Fighter Photo Card 3. Post Office Account Statement/Passbook
14. Kissan Photo Passbook 4. Ration Card
15. CGHS/ECHS Photo Card 5. Voter ID
16. Address Card Having Name And Photo Issued By Department Of Posts 6. Driving License
17. Certificate Of Identify Having Photo Issued By Gazetted Officer Or 7. Government Photo ID Cards/ Service Photo Identity Card Issued By PSU
Tehsildar On Letterhead 8. Electricity Bill (Not Older Than 3 Months)
18. Disability ID Card/Handicapped Medical Certificate Issued By The 9. Water Bill (Not Older Than 3 Months)
Respective State/UT Governments/Administrations 10. Telephone Landline Bill (Not Older Than 3 Months)
19. Bhamashah Card 11. Property Tax Receipt (Not Older Than One Year)
20. Certificate From Superintendent/ Warden/ Matron/ Head Of Institution Of 12. Credit Card Statement (Not Older Than 3 Months)
Recognized Shelter Homes For Orphanages, Homes Etc On Their Official 13. Insurance Policy
Letterhead 14. Signed Letter Having Photo From Bank On Letterhead
21. Certificate Of Ldentity Having Photo Issued By MP Or MLA Or MLC Or 15. Signed Letter Having Photo Issued By Registered Company Onletterhead
Municipal Councillor On Letterhead 16. Signed Letter Having Photo Issued By Recognized Educational Institution
22. Certificate Of Identity Having Photo Issued By Village Panchayat Head Or On Letterhead Or Photo ID Having Address Issued By Recognized
Mukhiya (For Rural Areas) Educational Institution
23. Gazette Notification For Name Change 17. NREGS Job Card
24. Marriage Certificate With Photograph 18. Rms License
25. RSBY Card 19. Pensioner Card
26. SSLC Book Having Candidates Photograph 20. Freedom Fighter Card
27. ST/ SC/ OBC Certificate With Photograph 21. Kissan Passbook
28. School Leaving Certificate (SLC)/ School Transfer Certificate (TC), 22. CGHS / ECHS Card
Containing Name And Photograph 23. Certificate Of Address Having Photo Issued By MP Or MLA Or Gazetted
29. Extract Of School Records Issued By Head Of School Containing Name Officer Or Tehsildar On Letterhead
And Photograph 24. Certificate Of Address Issued By Village Panchayat Head Or Its Equivalent
30. Bank Pass Book Having Name And Photograph Authority (For Rural Areas)
31. Certificate Of Identity Containing Name And Photograph Issued 25. Income Tax Assessment Order
26. Vehicle Registration Certificate
List Of DOB Documents 27. Registered Sale / Lease / Rent Agreement
28. Address Card Having Photo Issued By Department Of Posts
1. Birth Certificate 29. Caste And Domicile Certificate Having Photo Issued By State Govt.
2. SSLC Book/Certificate 30. Disability ID Card/Handicapped Medical Certificate Issued By
3. Passport Therespective State/UT Governments/Administrations
4. Certificate Of Date Of Birth Issued By Group A Gazetted Officer 31. Gas Connection Bill (Not Older Than 3 Months)
OnLetterhead 32. Passport Of Spouse
5. A Certificate Or ID Card Having Photo And Date Of Birth (DOB) Duly 33. Passport Of Parents(In Case Of Minor)
Signed And Issued By A Government Authority 34. Allotment Letter Of Accommodation Issued By Central/State Govt.Of Not
6. Photo ID Card Having Date Of Birth, Issued By Recognized Educational More Than 3 Years Old.
Institution 35. Marriage Certificate Issued By The Government, Containingaddress.
7. PAN Card 36. Bhamashah Card
8. Marksheet Issued By Any Govt. Board Or University 37. Certificate From Superintendent/ Warden/ Matron/ Head Of Institution Of
9. Govt. Photo ID Card/Photo Identity Card Issued By PSU Containing DoB. Recognized Shelter Homes For Orphanages, Homes Etc. On Letter Head
10. Central/State Pension Payment Order. 38. Certificate Of Address Having Photo Issued By Municipal Councillor On
11. Central Govt. Health Service Scheme Photo Card Or Ex-Servicemen Letterhead
12. School Leaving Certificate (SLC)/ School Transfer Certificate (TC), 39. Identity Card Issued By Recognized Educational Institutions
Containing Name And Date Of Birth 40. SSLC Book Having Photograph
13. Extract Of School Records Issued By Head Of School Containing Name, 41. School Identity Card
Date Of Birth And Photograph 42. School Leaving Certificate (SLC)/ School Transfer Certificate (TC),
14. Certificate Of Identity Containing Name, DOB And Photograph Issued By Containing Name And Address
Recognized Educational Institution Signed By Head Of Institute 43. Extract Of School Records Containing Name, Address And Photograph
Issued By Head Of School
List Of POR Documents 44. Certificate Of Identity Containing Name, Address And Photograph Issued
By Recognized Educational Institution Signed By Head Of Institute
1. PDS Card
2. MNREGA Job Card
3. CGHS/State Government/ECHS/ESIC Medical Card
4. Pension Card
5. Army Canteen Card
6. Any Other Central/State Government Issued Familyentitlement Document
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7. Marriage Certificate Issued By The Government.

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