CERTIFICATE FOR AADHAAR ENROLMENT/ UPDATE Instrections Al details to be filled In Bloc Leters (ob valid for 3 mont from date of issue) Tobe printed on plain A paper Site; Not required to print on letter heod DT) [12] (2]el2[2] [7] resident Non-Resident Indian (NR) New Enrolment Update Request Aadhase Number: (For Update only) Fullname: VEN@ATESAN, @ Cre: SUCBR RAMAN]. K House No./ Bldg./ Apt: [47 smeymmaime: [DE RUMALC KOTLUSTREFT Landmark: An WA NOG OP Ce lCONY aea/vocanm/secor, [To 1) 2 AAD vuermmor [TA NN YAN ChaigT Hh RAM pos oni [AL AMAT! Disrtet: TH TRUVA LLU. Sate TAm) 1 wa Sv: (eee | Pn cote GOSHSD: 6 Varebegien. ee te 31199 nae Certifier’s Details (To be filled by the certifier Only) Mr ikiniwis (biome Designaton: (PREG Play kaw Ni & OPU RAD ftce Address: Vitceace Pavcunya Cuage Contact Number: FTA ye off 2 above mersioned Chechlt for Carer tndieman (taermpmactarsoe) "| efascarariny Cfisestenties esses stntve Efenitrs des (1 Gazettes oficer- Group A EXesident’s Photo is cross signed and cross stamped (paper to photo or photo to paper) [ET Wage Panchayat Head or Mukti i areted omeer- Group 8 (CD MP/ MLA/ MLC/ Municipal Councilor Tehaidae ‘ [Ly tend ot ncogd duane ntion seperautt a 1 superintendent/ Warden/ Matron/ Head of institution aon eam of Recognized shelter homes/ Orphanages sar genius CO erro officer bag [NOTE: This formats applicable for POI documents al Nos. 17, 2,21, 22,31 32; POA documents 2 Sl. Nos. 23, 24,37, 38,44 & 45; POR documents at SL. Nos. 13, 4 14.008 documents at Si. Nos. 4, 5,14 & 15 of Schedule ofthe Aadhaar (Enrolment and Update) Regulations, 201, a6 amended trom time to tine,