CT war Lee ve ee Instructions Al deals be ck Leters Tos prntedon lin At pope se; Ho equred print on eer hea PEST eaeerics WF resident || non-Resident indian (NR) ~ | Update Request [tev teen wmummer [39 |] @4 5329 38 o 3] Full Name: BAtAT | Tv Oo ore: HANWAR A T House No,/ Bldg,/Apt: | 4- 44 steeyroadine = [M AR | J AAmmMA NW Koll SP _ | Landmark: — Area/toaaty/Secto: [SER yA RB A Y AW eA4r AY Am lage/ Town/ city: Post Office: KAb A) 44m pA TT) Distt: ER ope T 4m) 1 vA bp YU pi coe: baa e12 4-4! oust elle allcaa 6) |_seetens ee ace ramectimcmtier (SELVA RD 7 Designation: PREGQDENT office Adress: fast Pep Yyseq7 FaneyaN ry {hereby certify above mentioned detalls of the resident ‘Checklist for Certiier and Tam a. [Tick appropriate box below) Cio overwiting Cfiswe dateisitled CYfesients signature eerie deaits [51 Garetted oftcer- Group A Givtesident’s Photo is cross signed and cross stamped {paper to photo or photo to paper) [Lage Panchayat Head or Mukhiva (F Gnzetes ortcer-rovn 8 (Emo mw mic/ Muncipal Councor tensor [F) tead of Recognized Educational institution mM : 1B Superintendent/ Warden/| arn Hef watson PRESIDENT, of Recognized shelter homes/Orphanages i LO trrootter ThottipalavamRanchayat Note: This format is appiable for Po documents aL No, 23, POA document tS. No. 28, & 008 documents a Sl.No. 12 of Schedule lof the Aadhaar Enrolment £2 Update) Regulations, 2016, as amend from ime to time