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AADHAAR UPDATE FORM

भारतीय व श 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 : 29-09- Application Type :
Aadhaar Number : 812848329117
2020 UPDATE
Fields to be updated in [ Mobile, Address, ]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: SHIFA AHMAD
Address C/O Mohammad Ahmad, 537F/044A/
Sherwani Nagar, Sitapur Road,
Lucknow, Lucknow, Lucknow , Uttar
Pradesh, 226021
Mobile
9648866154
Number:
Documents to Carry:

Appointment Id: 1601358816311


Proof of CERTIFICATE OF ADDRESS HAVING
Aadhaar Seva Ground Floor, Ratan Square
address: PHOTO ISSUED BY MP OR MLA OR
Kendra Address:
MUNICIPAL COUNCILLOR OR Mall, Lucknow
GAZETTED OFFICER OR TEHSILDAR Appointment Date
13-10-2020 (10:50)
ON LETTERHEAD and Time:
Service Type: Demographic Update ( Mobile,
Address, )
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.
List of Documents

Instructions

1. Please reach 15 min early at Aadhaar Seva Kendra and carry printed copy of this Application Form.
2. Carry all the Document(s) selected while filling up the form.
3. 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 List of POA Documents

1. PENSIONER PHOTO CARD 1. Certificate of Identity containing Name, Address


2. RATION/ PDS PHOTO CARD and Photograph issued by Recognized
3. DRIVING LICENSE Educational Institution signed by Head of
Institute
4. SSLC Book having candidates Photograph
2. BANK STATEMENT/PASSBOOK
5. RSBY Card
3. CREDIT CARD STATEMENT (NOT OLDER THAN 3
6. KISSAN PHOTO PASSBOOK MONTHS)
7. Gazette Notification for name change 4. FREEDOM FIGHTER CARD
8. FREEDOM FIGHTER PHOTO CARD 5. WATER BILL (NOT OLDER THAN 3 MONTHS)
9. ARMS LICENSE 6. SIGNED LETTER HAVING PHOTO FROM BANK
10. Disability ID Card/handicapped medical ON LETTERHEAD
certificate issued by the respective State/UT 7. ARMS LICENSE
Governments/Administrations
8. INSURANCE POLICY
11. ST/SC/OBC certificate with Photo
9. PROPERTY TAX RECEIPT NOT OLDER THAN 3
12. Extract of School Records issued by Head of MONTHS
School containing name and photograph
10. CGHS / ECHS CARD
13. PASSPORT
11. GOVT PHOTO IDENTITY CARD/SERVICE PHOTO
14. Bank Pass Book having name and photograph IDENTITY CARD ISSUED BY PSU
15. School Leaving Certificate (SLC)/ School Transfer 12. Caste and Domicile Certificate having Photo
Certificate (TC), containing name and photograph issued by State Govt
16. PHOTO BANK ATM CARD 13. Disability ID Card/handicapped medical
17. VOTER ID certificate issued by the respective State/UT
18. PHOTO CREDIT CARD Governments/Administrations
19. ADDRESS CARD HAVING NAME AND PHOTO 14. RATION CARD
ISSUED BY DEPARTMENT OF POSTS 15. SIGNED LETTER HAVING PHOTO ISSUED BY
20. NREGS JOB CARD RECOGNIZED EDUCATIONAL INSTITUTION ON
21. Bhamashah Card LETTERHEAD
22. Marriage Certificate with Photograph 16. NREGS JOB CARD
23. CGHS / ECHS PHOTO CARD 17. PASSPORT
24. PAN CARD 18. ELECTRICITY BILL (NOT OLDER THAN 3
25. GOVERNMENT PHOTO ID CARDS/ SERVICE MONTHS)
PHOTO IDENTITY CARD ISSUED BY PSU 19. Certificate of identity containing Name, DOB and
26. PHOTO ID ISSUED BY RECOGNIZED Photograph issued by Employees? Provident
EDUCATIONAL INSTITUTION Fund Organisation (EPFO) on UIDAI standard
certificate format for enrolment/ update
27. Certificate of Identify having photo issued by
Gazetted Officer or Tehsildar on letterhead 20. Address Card having Photo issued by
Department of Posts
28. Certificate from Superintendent/ Warden/Matron/
Head of Institution of recognized Shelter Homes 21. VOTER ID
for Orphanages, Homes etc. 22. Identity card issued by recognised educational
29. Certificate of Identity having photo issued by MP institutions
or MLA or MLC or Municipal Councillor on 23. Allotment letter of accommodation issued by
letterhead Central/State Govt. of not more than 3 years old
30. Certificate of identity having photo issued by 24. Passport of Parents (in case of minor)
village panchayat head or Mukhiya for rural 25. Extract of School Records containing Name,
areas. Address and Photograph issued by Head of
31. Certificate of Identity containing name and School
photograph issued by Recognized Educational 26. Passport of Spouse
Institution signed by Head of Institute on UIDAI 27. School Leaving Certificate (SLC)/ School Transfer
standard certificate format for enrolment/ update. Certificate (TC), containing Name and Address
32. Certificate of identity containing Name, DOB and 28. Gas Connection Bill( not older than 3 months)
Photograph issued by Employees? Provident Fund 29. SIGNED LETTER HAVING PHOTO ISSUED BY
Organisation (EPFO) on UIDAI standard certificate REGISTERED COMPANY ON LETTERHEAD
format for enrolment/ update
List of DOB Documents
30. TELEPHONE LANDLINE BILL (NOT OLDER
THAN 3 MONTHS)
1. Certificate of Identity containing Name, DOB and 31. Income Tax Assessment Order
Photograph issued by Recognized Educational 32. School identity card
Institution signed by Head of Institute LIST OF 33. DRIVING LICENSE
ACCEPTABLE SUPPORTING DOCUMENTS FOR 34. Bhamashah Card
VERIFICATION 5th September, 2019 35. POST OFFICE ACCOUNT STATEMENT/PASSBOOK
2. Mark sheet issued by any Govt. Board or 36. KISSAN PASSBOOK
University
37. Marriage Certificate issued by the Government
3. Certificate of identity containing Name, DOB and containing address
Photograph issued by Employees? Provident Fund
Organisation (EPFO) on UIDAI standard certificate 38. 2Vehicle Registration Certificate
format for enrolment/ update 39. PENSIONER CARD
4. School Leaving Certificate (SLC)/ School Transfer 40. Registered Sale / Lease /Rent Agreement
Certificate (TC), containing Name and Date of 41. SSLC Book having Photograph
Birth 42. CERTIFICATE OF ADDRESS HAVING PHOTO
5. Extract of School Records issued by Head of ISSUED BY MP OR MLA OR MUNICIPAL
School containing Name, Date of Birth and COUNCILLOR OR GAZETTED OFFICER OR
Photograph TEHSILDAR ON LETTERHEAD
6. PAN CARD 43. Certificate of Address issued by Village
7. SSLC BOOK/CERTIFICATE Panchayat head or its equivalent authority (for
8. Central/ State Pension Payment Order rural areas)
9. Govt. Photo ID Card/ Photo Identity card issued by 44. Certificate from Superintendent/
PSU containing DOB Warden/Matron/ Head of Institution of
recognized Shelter Homes for orphanages,
10. BIRTH CERTIFICATE homes etc on letter head.
11. Central Govt. Health Service Scheme photo card 45. Certificate of address having photo issued by
or Ex-Servicemen Contributory Health Scheme municipal councillor on letter head.
photo card
12. PASSPORT
13. Photo ID card having Date of Birth, issued by
Recognized Educational Institution
14. CERTIFICATE OF DATE OF BIRTH ISSUED BY
GROUP A GAZETTED OFFICER ON LETTERHEAD
15. A certificate or ID Card having photo and Date of
Birth (DOB) duly signed and issued by a
Government authority

List of POR Documents

1. PENSION CARD
2. PDS CARD
3. Discharge Card/Slip Issued by Govt. Hospitals for
Birth of a Child
4. Bhamashah Card
5. Address Card having Name and Photo issued by
Department of Posts
6. ARMY CANTEEN CARD
7. MARRIAGE CERTIFICATE ISSUED BY THE
GOVERNMENT
8. ANY OTHER CENTRAL/STATE GOVERNMENT
ISSUED FAMILY ENTITLEMENT DOCUMENT
9. CGHS/STATE GOVERNMENT/ECHS/ESIC MEDICAL
CARD
10. PASSPORT
11. MNREGA JOB CARD
12. BIRTH CERTIFICATE ISSUED BY REGISTRAR OF
BIRTH, MUNICIPAL CORPORATION AND OTHER
NOTIFIED LOCAL GOVERNMENT BODIES LIKE
TALUK, TEHSIL ETC.
13. Certificate of identity having photo issued by MP
or MLA or MLC or Municipal Councillor or gazette
officer on letterhead
14. Certificate of identity having photo and
relationship with HOF issued by village
panchayat head or mukhiya (for rural areas)

Guideline to follow at ASK Center

1. Mask is mandatory at all the times when the resident is in or around the ASK Centre.
2. It is advised for the resident to have Aarogya Setu Mobile App installed in their mobile. The current status
will be viewed by the ASK Centre guard at the entrance gate.
3. If possible it is advised to residents not to travel from hotspot zone.
4. It is advised to the residents to follow all the precautionary measures instructed at the ASK while availing
the services.

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