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stern AADHAAR ENROLMENT / CORRECTION FORM ZN are aaah geet TIT “Aadhaar Enroiment fre and voluntary. Corrcton within 96 hours of enrolment salsa fee, No charges are apalcable fr form and Aadhsar Enrolment. fn case of ‘orrction provide your EI, Name and only that eld whieh neees conection. ee ato sig sh edfebes se. ait Sour 96 eee a Swe DT Faeroe, sere snr iaMerch Ge aL. Gee TEN eT MT LTE, TA TT sm a ear In caso of correction prove your EID No hore: | ges rsh ae rar Les te Ba Please follow te instructions everioat while filing up the form. Uso capita otters only. / 4a) 45 MEAT HF Tes eH TaN TT a ae wa 1. | Pre-Enroiment ID: /-enag ors) 2] NPR Recep TIN Number: / enor setae 3. [FuNane:1 apt 4, [Sender Male (GHC) Female #A() Sage ae ves ORFST Date of th / eT Transgender! Declares sta () __Veniiod rach () 6 [Adsoss rom: Goran) _Db/Aae) Se/myeT() Wola () Hore) Name Tat House NavBidg Apt We a aT / SATE ‘SreetRondane | aa ea Lanark ee Areallocaltyisector] Pome) VilagorTowniGiy eee Post Office / rae Ditnct Rise Sub-Divsion | 94 RA State wa Ema eae ‘Mobie No / age ae PIN CODE / Ras 7, [Detas off afarantte: Fater af () — Mother/ si () Guardian am () Husband ah ()_ wile eFC) For chiléron bolow 5 yoars Fathor/MotherGuarcian’s deta. Asclose 5 eer ot cara salen asda cates sera Name natory. Adults can oot to net specity tis information, if they cannotide net Bee ae ue ae e/a ge ek 8 HG ant Freee a ErDiAachaar No: [ore] aneTea a ee ae ©, | Selec One af he below (OPTIONAL) (This data cannot be corrected ater Enralment)/ as OA mn Arce wa (Rattwa) (Ae er tee GUI eet Oo) Ly want he UIDA to facitate opening of a new Bank’Post Office Account inked to my Aachaar Number and have no objection to sharing my information forthis purpose. eb sir ae ard ames gee at er eh sh gear Tae Tet ap are ret eT, 1 have no objection to tnking my present bank account provided here to my Aadhaar Numer JET 82 Seer Ta meaTaT a Ty sae eT a ARH a TA, State (7-2 Bonk Name/Branch | Sha-ra/uRs IFSC Code / stage ahs Account No.) eR Voricaton Type /

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