AADHAAR ENROLMENT

FORM
Aadhaar Enrolment is free & Voluntary.

Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND SERVICES) ACT,2016
(Aadhaar Act)
Please bring your original documents while enrolment.

Submission Date: 14-Jun-2021 Application Type : ENROLMENT(Aadhaar Enrolment is free & Voluntary)

Application Details Appointment Details

Full Name: BABITA BOBBY MORE

Gender: Female

Date Of Birth: 10-Dec-2001

C/O 00 ASHAPURI, GOVALAK NAGAR,

Address: PANDESARA, MALDHARI VASAVAT, Surat
City, Surat, Surat City, Gujarat, 394221

Email ID:

Mobile No.: 9081327530

Appointment ID: 1000001473041

Aadhaar Seva G7,G8 Galaxy Enclave,Galaxy Circle-

Kendra Address: Green City Road,Pal,Surat,395009

Appointment Date: 16-Jun-2021

Time Slot: 13:00

Amount: Rs. 0

Payment Status: N.A

GSTN : 07AAAGU0182Q1ZS

Documents to Carry

1. POI: Certificate of Identity having photo issued by MP or MLA or MLC or Municipal Councilor on UIDAI standard certificate
format for enrolment/ update
2. POA: Certificate of Address having photo issued by MP or MLA or MLC or Gazetted Officer or Tehsildar on UIDAI standard
certificate format for enrolment/ update
3. DOB: Certificate of Identity containing Name, DOB and Photo issued by Recognized Educational Institution signed by Head
of Institute on UIDAI standard certificate format for enrolment/ update

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 & 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 his/her Name, if stamp is not available)
Applicant s signature/Thumbprint

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. In case of Child (5Yrs) or Guardian based application, Guardian/Relative will be required to accompany the applicant.
4. In case of incapacitated person, the signature will be done by Legal Guardian of Incapacitated Person
 List of POI Documents List of POA Documents

1. Passport 1. Passport
2. PAN Card 2. Bank Statement/ Passbook
3. Ration/ PDS Photo Card 3. Post Of f ice Account Statement/ Passbook
4. Voter ID 4. Ration Card
5. Driv ing License 5. Voter ID
6. Gov ernment Photo I D Cards/ Serv ice photo identity card issued by PSU 6. Driv ing License
7. NREGS Job Card 7. Gov ernment Photo I D cards/ serv ice photo identity card issued by PSU
8. Photo ID issued by Recognized Educational Institution 8. Electricity Bill (not older than 3 months)
9. Arms License 9. Water Bill (not older than 3 months)
10. Photo Bank ATM Card 10. Telephone Landline Bill (not older than 3 months)
11. Photo Credit Card 11. Property Tax Receipt (not older than 1 y ear)
12. Pensioner Photo Card 12. Credit Card Statement (not older than 3 months)
13. Freedom Fighter Photo Card 13. Insurance Policy
14. Kissan Photo Passbook 14. Signed Letter hav ing Photo f rom Bank on letterhead
15. CGHS/ ECHS Photo Card 15. Signed Letter hav ing Photo issued by registered Company on letterhead
16. Address Card hav ing Name and Photo issued by Department of Posts 16. Signed Letter hav ing Photo issued by Recognized Educational Institution
17. Certif icate of Identity hav ing photo issued by Gazetted Of f icer orTehsildar on on letterhead or Photo ID hav ing address issued by Recognized
UIDAI standard certif icate f ormat f or enrolment/ update Educational Institution
18. Disability ID Card/ handicapped medical certif icate issued by the respectiv e 17. NREGS Job Card
State/ UT Gov ernments/ Administrations 18. Arms License
19. Bhamashah Card/Jan-Aadhaar card issued by Gov t. of Rajasthan 19. Pensioner Card
20. Certif icate f rom Superintendent/Warden/ Matron/ Head of Institution of 20. Freedom Fighter Card
recognized shelter homes or orphanages etc. on UIDAI standard certif icate 21. Kissan Passbook
f ormat f or enrolment/ update 22. CGHS/ ECHS Card
21. Certif icate of Identity hav ing photo issued by MP or MLA or MLC or Municipal 23. Certif icate of Address hav ing photo issued by MP or MLA or MLC or
Councilor on UIDAI standard certif icate f ormat f or enrolment/ update Gazetted Of f icer orTehsildar on UIDAI standard certif icate f ormat f or
22. Certif icate of Identity hav ing photo issued by Village Panchay at Head or enrolment/ update
Mukhiy a or its equiv alent authority (f or rural areas) on UIDAI standard 24. Certif icate of Address issued by Village Panchay at head or its
certif icate f ormat f or enrolment/ update equiv alent authority (f or rural areas) on UIDAI standard certif icate
23. Gazette notif ication f or name change f ormat f or enrolment/ update
24. Marriage certif icate with photograph 25. Income Tax Assessment Order
25. RSBY Card 26. Vehicle Registration Certif icate
26. SSLC book hav ing candidates photograph 27. Registered Sale/ Lease/ Rent Agreement
27. ST/ SCI OBC certif icate with photograph 28. Address Card hav ing Photo issued by Department of Posts
28. School Leav ing Certif icate (SLC)/ School Transf er Certif icate (TC), containing 29. Caste and Domicile Certif icate hav ing Photo issued by State Gov t
name and photograph 30. Disability ID Card/ handicapped medical certif icate issued by the
29. Extract of School Records issued by Head of School containing name and respectiv e State/ UT Gov ernments/ Administrations
photograph 31. Gas Connection Bill (not older than 3 months)
30. Bank Pass Book hav ing name and photograph 32. Passport of Spouse
31. Certif icate of Identity containing name and photo issued by Recognized 33. Passport of Parents (in case of Minor)
Educational Institution signed by Head of Institute on UIDAI standard 34. AIIotment letter of accommodation issued by Centra/ State Gov t. (not
certif icate f ormat f or enrolment/ update. more than 3 y ears old)
32. Certif icate of identity containing Name, DOB and Photograph issued by 35. Marriage Certif icate issued by the Gov ernment,containing address
Employ ees' Prov ident Fund Organisation (EPFO) on UIDAI standard certif icate 36. Bhamashah Card/Jan-Aadhaar card issued by Gov t. of Rajasthan
f ormat f or enrolment/ update. 37. Certif icate f rom Superintendent/Warden/ Matron/ Head of Institution of
recognized shelter homes or orphanages etc. on UIDAI standard
List of DOB Documents certif icate f ormat f or enrolment/ update
38. Certif icate of Address hav ing photo issued by Municipal Councillor on
UIDAI standard certif icate f ormat f or enrolment/ update
1. Birth Certif icate
39. Identity Card issued by recognized educational institutions
2. SSLC Book/ Certif icate
40. SSLC book hav ing photograph
3. Passport
41. School Identity card
4. Certif icate of Date of Birth issued by Group A Gazetted Of f icer on UIDAI
42. School Leav ing Certif icate (SLCl/ School Transf er Certif icate (TC),
standard certif icate f ormat f or enrolment/ update
containing Name and Address
5. A certif icate (on UIDAI standard certif icate f ormat f or enrolment/ update) or ID
43. Extract of School Records containing Name, Address and Photograph
Card hav ing photo and Date of Birth (DOB) duly signed and issued by a
issued by Head of Sd1ool
Gov ernment authority
44. Certif icate of Identity containing Name, Address and Photo issued by
6. Photo ID card hav ing Date of Birth, issued by Recognized Educational
Recognized Educational Institution signed by Head of Institute on UIDAI
Institution
standard certif icate f ormat f or enrolment/ update
7. PAN Card
45. Certif icate of identity containing Name, DOB and Photograph issued by
8. Marksheet issued by any Gov ernment Board or Univ ersity
Employ ees' Prov ident Fund Organisation (EPFO) on UIDAI standard
9. Gov ernment Photo I D Card/ Photo Identity Card issued by PSU containing
certif icatef ormat f or enrolment/ update
DOB
10. Central/ State Pension Pay ment Order
11. Central Gov ernment Health Serv ice Sd1eme Photo Card or E*Serv icemen
Contributory Health Scheme Photo card
12. School Leav ing Certif icate (SLC)/ School Transf er Certif icate (TC), containing
Name and Date of Birth
13. Extract of School Records issued by Head of School containing Name, Date of
Birth and Photograph
14. Certif icate of Identity containing Name, DOB and Photo issued by Recognized
Educational Institution signed by Head of Institute on UIDAI standard
certif icate f ormat f or enrolment/ update
15. Certif icate of identity containing Name, DOB and Photograph issued by
Employ ees' Prov ident Fund Organisation (EPFOl on UIDAI standard certif icate
f ormat f or enrolment/ update

List of POR Documents

1. PDS Card
2. MNREGA Job Card
3. CGHS/ State Gov ernment/ ECHS/ ESIC Medical card
4. Pension Card
5. Army Canteen Card
6. Passport
7. Birth Certif icate issued by Registrar of Birth, Municipal Corporation and other
notif ied local gov ernment bodies like Taluk, Tehsil etc.
8. Any other Central/ State gov ernment issued f amily entitlement document
 9. Marriage Certif icate issued by the gov ernment
10. Address card hav ing name and photo issued by Department of Posts
11. Bhamashah Card/Jan-Aadhaar card issued by Gov t. of Rajasthan
12. Discharge card/ slip issued by Gov ernment hospitals f or birth of a child
13. Certif icate of Identity hav ing photo issued by MP or MLA or MLC or Municipal
Councillor or Gazetted Of f icer on Ul DAI standard certif icate f ormat f or
enrolment/ update
14. Certif icate of Identity hav ing photo and relationship with HoF issued by Village
Panchay at Head or Mukhiy a or its equiv alent authority (f or rural areas) on
UIDAI standard certif icate f ormat f or enrolment/ update
Customer Process Flow