ease aa hee eee Gea ere MAO es nnn A etal tobe led Block Ltrs {Tobe ofr 3 months om doe of se) Tobe printed on plan Ad popersize: Not required to print on letter heod: Qo} jo 2} [zo2 g| [7 raider Nooesdetindan an) |Newewoment.— [ V[ Update Request titemmee = (63 SRAZ ZIONS Full Name: DYDWAMAN) PONNOBA RNY cle: Mov RN EOMR Ee — Houseno/ sida: |XX f SAH suectfrodine: = (EW ETT VV TTO TUAW Landmark: NELLA MARCA TRS @ sefoainjsecr MELE Y TRV RES © POR _] wingertomoy [RNY WA NO Ponomes: NELE VT WYER ORe Oe Distr: EQopne state: A AML L NESY PIN code BSR BIA -¢ Date of Bit: Lolfoéllq iF vraxwinnenin fA Certifier’s Details (To be filled by the certifier Only) Nameotthecetite: |/KMO WANS KO WAR Desienatont RSASVTAST EN @\NE ER Office Address: TRA BAEOARCMERER EC TAON TAN TEANRACO EROSE commie (QAR STSTLTST | orate ren Lee ibaa Chm Cree [C1 Gazetted officer - Group & Biesidert’s Photos eros signed and eae stamped (paper fo photo er phate to paper) Evie ancy ead Mts Gated Ofer -roup 8 [D] mprmta7 mic/ Muncipal Councilor 9 OSS ENGINE! Head of recognized Eduentionel metution Transformer Erection fh, 1 superinendent/ Warden/ Matron/ Head of institution TANTRANSCO / ERCDE +8. ‘of Recognized shelter homes/ Orphanages CO tehstdar CO erro officer Senate 8 Stamp ofthe certtor ‘Note: This format is appleable for POI dacoments tS. No. 23, POA documents a Sl No, 28, & DOB documents at S.No 12 of Schedule ofthe Aadhaar (Ervolment £8 Update) Regulations, 201625 amended from time to time.