AADHAAR UPDATE

FORM
Aadhaar Enrolment is free & Voluntary.

Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND SERVICES)
ACT,2016 (Aadhaar Act)

Submission Date: 29/04/2023 Application Type : UPDATE AADHAAR Aadhaar No.: 514662803463

Application Details Appointment Details

Full Name: Chandramohan Prasad

Resident Type: Indian Resident
C/O, Manish Ranjan, Anjaneya
Nilayam, 5th Cross, New
Thirumala Layout, Near
Venkateshwara Temple, 5th
Address:
Cross, Thirumalashettyhalli,
Thirumalasettihalli,
Samethanahalli, Bangalore
Rural, Karnataka - 560067

EA Name: CSC e-Gov

Registrar Name: CSC e-Gov
Appointment ID: 1682781089076
Enrolment Center Address: "6th A Cross, Near Patalamma
Temple, M V Extension,
Hoskote Town, Bangalore Rural
",Hosakote,Hoskote Indl. Area,
Bangalore Rural,Karnataka,
562114
Appointment Date: 30/04/2023
Time Slot: 15:00 TO 15:10
Amount To Be Paid: 50.0

Documents to Carry
1. POA: Bank Statement/Passbook

I hereby confirm my identity and address as being true, correct and accurate.

Guardian Name: Signature of Guardian

Disclosure under section 3(2) of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS
AND SERVICES) ACT, 2016

I confirm that I have been residing in India for at least 182 days in the preceding 12 months & information (including biometrics)
provided by me to the UIDAI is my own and is true, correct and accurate. I am aware that my information including biometrics will be
used for generation of Aadhaar and authentication. I understand that my identity information (except core biometric) may be provided
to an agency only with my consent during authentication or as per the provisions of the Aadhaar Act. I have a right to access my
identity information (except core biometrics) following the procedure laid down by UIDAI.

Verifier s Stamp and Signature: Applicant s signature/Thumbprint

(Verifier must put his/her Name, if stamp is not available)

Note: In case of Child(<5Yrs) or Guardian/Relative based application, Guardian/Relative will be required to accompany the applicant. In case of
incapacitated person, the signature will be done by Legal Guardian of Incapacitated Person

Instructions

Please reach 15 min early at Aadhaar Seva Kendra and carry printed copy of this Application Form.
Do not damage the QR Code by folding the Application form across it.
Carry all the original Document(s) selected while filling up the form.
Get the printed copy of final application form before leaving the center. Also, please fill the feedback form at the exit counter to
serve you better next time.

List of POI Documents

1. Address Card having Name and Photo issued by

Department of Post
2. Arms License
3. Bank Pass Book having name and photo
4. Bhamashah Card
5. Certificate from Superintendent/ Warden/ Matron/ Head of
Institution of recognized shelter homes for orphanages,
homes etc on their official letter head
6. Certificate of Identity containing name and photo issued
by Recognized Educational Institution signed by Head of
Institute
7. Certificate of identity containing Name, DOB and
Photograph issued by Employees’ Provident Fund
Organisation (EPFO) on UIDAI standard certificate format
for enr
8. Certificate of Identity having photo issued by Gazetted
Officer or Tehsildar on letterhead
9. Certificate of Identity having photo issued by MP or MLA
or MLC or Municipal Councilor on UIDAI standard
certificate format for enrolment/ update
10. Certificate of Identity having photo issued by village
panchayat head or mukhiya or its equivalent authority (for
rural areas)
11. CGHS / ECHS Photo Card
12. Disability ID Card/handicapped medical certificate issued
by the respective State/UT Governments/Administrations
13. Driving License
14. Extract of School Records issued by Head of School
containing name and photo
15. Freedom Fighter Photo Card
16. Gazette notification for name change (with separately
affixed photo)
17. Government Photo ID Cards/ service photo identity card
issued by PSU
18. Kissan Photo Passbook
19. Marriage Certificate with photo
20. NREGS Job Card
21. PAN Card
22. Passport
23. Pensioner Photo Card
24. Photo Bank ATM Card
25. Photo Credit Card
26. Photo ID issued by Recognized Educational Institution
27. Ration/ PDS Photo Card
28. RSBY Card List of POR Documents
29. School Leaving Certificate (SLC) / School Transfer
Certificate (TC), containing name and photo 1. Address card having name and photo issued by
30. SSLC book having candidates photo Department of Post
31. ST/ SC/ OBC Certificate with photo 2. Any other Central/State government issued family
32. Voter ID entitlement document.
3. Army Canteen Card
List of POA Documents 4. Bhamashah card
5. Birth Certificate issued by Registrar of Birth, Municipal
1. Address Card having Photo issued by Department of Post Corporation and other notified local government bodies like
2. Allotment letter of accommodation issued by Central/State Taluk, Tehsil etc.
Govt. (not more than 3 years old) 6. Certificate of ldentity having photo and relationship with
3. Arms License HOF issued by village panchayat head or mukhiya or its
4. Bank Statement/Passbook equivalent authority (for rural areas)
5. Bhamashah card 7. Certificate of ldentity having photo issued by MP or MLA or
6. Caste and Domicile Certificate having Photo issued by MLC or Municipal Councilor or Gazette Officer on
State Govt. letterhead
7. Certificate from Superintendent/ Warden/ Matron/ Head of 8. CGHS/State Government/ECHS/ESIC Medical card
Institution of recognized shelter homes for orphanages 9. Discharge card/ slip issued by Government hospitals for
etc. on letter head birth of a child
8. Certificate of Address having photo issued by MP or MLA 10. Marriage Certificate issued by the government
or MLC or Gazetted Officer or Tehsildar on letterhead 11. NREGS Job Card
9. Certificate of address having photo issued by Municipal 12. Passport
Councilor on letterhead 13. PDS Card
10. Certificate of Address issued by Village Panchayat head 14. Pension Card
or its equivalent authority (for rural areas)
11. Certificate of Identity containing Name, Address and List of DOB Documents
Photo issued by Recognized Educational Institution
signed by Head of Institute 1. Birth Certificate
12. Certificate of identity containing Name, DOB and 2. Central Government Health Service Scheme Photo Card
Photograph issued by Employees’ Provident Fund or Ex-Servicemen Contributory Health Scheme Photo card.
Organisation (EPFO) on UIDAI standard certificate format 3. Central/State Pension Payment Order
for enr 4. Certificate of Date of Birth issued by Group A Gazetted
13. CGHS/ECHS Card Officer on Letterhead
14. Credit Card Statement (not older than 3 months) 5. Certificate of identity containing Name, DOB and
15. Disability ID Card/handicapped medical certificate issued Photograph issued by Employees’ Provident Fund
by the respective State/UT Governments/Administrations Organisation (EPFO) on UIDAI standard certificate format
16. Driving License for enr
17. Electricity Bill (not older than 3 months) 6. Certificate of Identity containing Name, DOB and Photo
18. Extract of School Records containing Name, Address and issued by Recognized Educational Institution signed by
Photo issued by Head of School Head of Institute
19. Freedom Fighter Card 7. Extract of School Records issued by Head of School
20. Gas Connection Bill (not older than 3 months) containing Name, Date of Birth and Photo
21. Government Photo ID cards/ service photo identity card 8. Government issued certificate (or card) having photo and
issued by PSU duly signed by the signing authority
22. Income Tax Assessment Order
23. Insurance Policy
9. Government Photo ID Card/ Photo Identity Card issued by
24. Kissan Passbook
PSU containing DOB
25. ldentity Card issued by recognized educational institutions
10. Mark sheet issued by any Government Board or
26. Marriage Certificate Issued by the Govt, containing name
Recognized University
and address
11. PAN Card
27. NREGS Job Card
12. Passport
28. Passport
13. Photo ID having Date of Birth issued by Recognized
29. Passport of Parents (in case of Minor)
Educational Institution
30. Passport of Spouse
14. School Leaving Certificate (SLC)/School Transfer
31. Pensioner Card
Certificate (TC), containing Name and Date of Birth
32. Post Office Account Statement/Passbook
15. SSLC Book/Certificate
33. Property Tax Receipt (not older than 1 year)
34. Ration Card
35. Registered Sale/Registered Lease/Registered Rent
Agreement
36. School ldentity Card
37. School Leaving Certificate (SLC) / School Transfer
Certificate (TC), containing Name and Address
38. Signed Letter having Photo from Bank on letterhead
39. Signed Letter having Photo issued by Recognized
Educational Institution on letterhead or Photo ID having
address issued by Recognized Educational Institution.
40. Signed Letter having Photo issued by registered Company
on letterhead
41. SSLC book having photo
42. Telephone Landline Bill (not older than 3 months)
43. Vehicle Registration Certificate
44. Voter ID
45. Water bill (not older than 3 months)