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  • Aadhar Correction Form

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    Aashiq Lakshmi
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    This document is a certificate for Aadhaar enrolment or update. It provides instructions for filling out resident details like name, address, date of birth and attaching a recent photograph. It also includes a section for certifiers - who are gazetted officers, elected representatives or heads of recognized institutions - to verify the resident's details and sign/stamp the certificate. The certificate is valid for 3 months from date of issue.

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    Aadhar correction form

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    This document is a certificate for Aadhaar enrolment or update. It provides instructions for filling out resident details like name, address, date of birth and attaching a recent photograph. It also includes a section for certifiers - who are gazetted officers, elected representatives or heads of recognized institutions - to verify the resident's details and sign/stamp the certificate. The certificate is valid for 3 months from date of issue.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    38 views1 page

    Aadhar Correction Form

    Uploaded by

    Aashiq Lakshmi
    This document is a certificate for Aadhaar enrolment or update. It provides instructions for filling out resident details like name, address, date of birth and attaching a recent photograph. It also includes a section for certifiers - who are gazetted officers, elected representatives or heads of recognized institutions - to verify the resident's details and sign/stamp the certificate. The certificate is valid for 3 months from date of issue.

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    © All Rights Reserved
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    CERTIFICATE FOR AADHAAR ENROLMENT/ UPDATE

    /ŶƐƚƌƵĐƟŽŶƐ͗ ůůĚĞƚĂŝůƐƚŽďĞĮůůĞĚŝŶůŽĐŬ>ĞƩĞƌƐ ;dŽďĞǀĂůŝĚĨŽƌϯŵŽŶƚŚƐĨƌŽŵĚĂƚĞŽĨŝƐƐƵĞͿ

    dŽďĞƉƌŝŶƚĞĚŽŶƉůĂŝŶϰƉĂƉĞƌƐŝnjĞ͖ EŽƚƌĞƋƵŝƌĞĚƚŽƉƌŝŶƚŽŶůĞƩĞƌŚĞĂĚ͖   D D M M Y Y Y Y
    Resident’s Details
    Resident Non-Resident Indian (NRI) New Enrolment Update Request

    ĂĚŚĂĂƌEƵŵďĞƌ͗
    (For update only)

    &ƵůůEĂŵĞ͗

    C/o:

    ,ŽƵƐĞEŽͬ͘ůĚŐͬ͘Ɖƚ͗

    ^ƚƌĞĞƚͬZŽĂĚͬ>ĂŶĞ͗

    >ĂŶĚŵĂƌŬ͗

    ƌĞĂͬ>ŽĐĂůŝƚLJͬ^ĞĐƚŽƌ͗

    sŝůůĂŐĞͬdŽǁŶͬŝƚLJ͗

    WŽƐƚKĸĐĞ͗

    ŝƐƚƌŝĐƚ͗
    Resident’s Recent
    State: Colour Photograph
    3.5cm x 4.5 cm

    Cross Signed and


    Cross Stamped
    ďLJƚŚĞĞƌƟĮĞƌ͘

    PIN Code: NB: DO NOT


    OVERLAP WITH
    TEXT BOXES
    Signature of the Resident/
    ĂƚĞŽĨŝƌƚŚ͗ Thumb/ Finger Impression

    ĞƌƟĮĞƌ͛ƐĞƚĂŝůƐ;dŽďĞĮůůĞĚďLJƚŚĞĐĞƌƟĮĞƌOŶůLJΉ
    EĂŵĞŽĨƚŚĞĞƌƟĮĞƌ͗

    ĞƐŝŐŶĂƟŽŶ͗

    KĸĐĞĚĚƌĞƐƐ͗

    ŽŶƚĂĐƚEƵŵďĞƌ͗

    /ŚĞƌĞďLJĐĞƌƟĨLJĂďŽǀĞŵĞŶƟŽŶĞĚĚĞƚĂŝůƐŽĨƚŚĞƌĞƐŝĚĞŶƚ ŚĞĐŬůŝƐƚĨŽƌĞƌƟĮĞƌ
    and I am a.... (Tick appropriate box below) EŽŽǀĞƌǁƌŝƟŶŐ/ƐƐƵĞĚĂƚĞŝƐĮůůĞĚZĞƐŝĚĞŶƚ͛ƐƐŝŐŶĂƚƵƌĞĞƌƟĮĞƌ͛ƐĚĞƚĂŝůƐ
    'ĂnjĞƩĞĚKĸĐĞƌͲ'ƌŽƵƉ Resident’s Photo is cross signed and cross stamped ;ƉĂƉĞƌƚŽƉŚŽƚŽŽƌƉŚŽƚŽƚŽƉĂƉĞƌͿ

    Village Panchayat Head or Mukhiya


    'ĂnjĞƩĞĚKĸĐĞƌͲ'ƌŽƵƉ
    MP/ MLA/ MLC/ Muncipal Councilor
    Tehsildar
    ,ĞĂĚŽĨZĞĐŽŐŶŝnjĞĚĚƵĐĂƟŽŶĂů/ŶƐƟƚƵƟŽŶ
    ^ƵƉĞƌŝŶƚĞŶĚĞŶƚͬtĂƌĚĞŶͬDĂƚƌŽŶͬ,ĞĂĚŽĨ/ŶƐƟƚƵƟŽŶ
    of Recognized shelter homes/ Orphanages
    ^ŝŐŶĂƚƵƌĞΘ^ƚĂŵƉŽĨƚŚĞĞƌƟĮĞƌ
    W&KKĸĐĞƌ

    EKd͗dŚŝƐĨŽƌŵĂƚŝƐĂƉƉůŝĐĂďůĞĨŽƌWK/ĚŽĐƵŵĞŶƚƐĂƚ^/͘EŽƐ͘ϭϳ͕ϮϬ͕Ϯϭ͕ϮϮ͕ϯϭΘϯϮ͖WKĚŽĐƵŵĞŶƚƐĂƚ^/͘EŽƐ͘Ϯϯ͕Ϯϰ͕ϯϳ͕ϯϴ͕ϰϰΘϰϱ͖WKZĚŽĐƵŵĞŶƚƐĂƚ^/͘EŽƐ͘ϭϯ
    ΘϭϰKĚŽĐƵŵĞŶƚƐĂƚ^/͘EŽƐ͘ϰ͕ϱ͕ϭϰΘϭϱŽĨ^ĐŚĞĚƵůĞ//ŽĨƚŚĞĂĚŚĂĂƌ;ŶƌŽůŵĞŶƚĂŶĚhƉĚĂƚĞͿZĞŐƵůĂƟŽŶƐ͕ϮϬϭϲ͕ĂƐĂŵĞŶĚĞĚĨƌŽŵƟŵĞƚŽƟŵĞ͘

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