i ae Instructions: Al details tobe filled in Bock Letters, (Tbe vais for 3 mants from dote of sue) Tobe printed on poinA8 poper sie; Not required to print on letterhead: PSs Resident Non-Resident indian (NR) New Enrolment Update Request ‘Aadhaar Number: (For update ony) Full Name fo: House No,/ aldg./ Apt: Street/ Road/ Lane: Landmarks ‘Acea/ Locality/ Sector: Village/ Town/ city: Post Office District state: GoourPotoesoh 3.5emx4.5 em PIN code: ua:00 nor Thm Finger arson Certifier’s Details (To be filled by the certifier Only) Name of the Certiir: Date of Birth: Designation: Office Address: Contact Number: hereby certify above mentioned details of the r ‘Checklist for Certifier and Iam a... (Tick appropriate box below) nc cverwriting [issue dateisfited C) escent’ signature cerier's details Gazetted officer -Group A resident’ Photos eos signed and eros stamped (paper to photo or photo to paper) Vilage Panchayat Head or Mukhiya Gazetted Officer - Group 8 MP/ MLA/ MLC/ Muncipal Councilor ‘ehsildar Head of Recognized Educational institution oo000000 Superintendent/ Warden Matron/ Head of Institution ‘of Recognized shelter homes/ Orphanages EPFO officer Sunatre & Strip oft Carer o NOTE: Ths format i applicable for PO! documents at i. Nos. 27,20, 21,22, 31 & 32; POA documents tS Nos. 23, 24,37, 38, 44 & 45; POR documents at SL Nos. 13 14008 documents at Si Nos. 4,5, 14 & 18 of Schedule I ofthe Aadhaar enrolment and Update) Regulations, 2016, s amended frm tine to time