VILLAGE ADMINISTRATIVE OFFICER CERTIFICATE

FOR AADHAR NEW/UPDATION

(ONLY IN ENGLISH)

This is to certify Sri/Smt ……………………………………………………….............................

On Date of Birth …………………................ S/o, W/o, D/o ……………………………………
is residing at Door No ………………….. Street ……………………………………………….
Village…………………………………… Post ……………………….........................................
Taluk ………………………….. District …………………….......................................................

Pin Code …………..

His/Her Name finds a place in Ration card No/Voter Id ……………………………………

I hereby Certify that He/She is residing at the above address for the past …………..
Years and He/She is known to me.

Date : ………………………………..
Place : ……………………………….

VILLAGE ADMINISTRATIVE OFFICER

SIGNATURE WITH SEAL