AADHAAR UPDATE FORM

भारतीय विशिष्ट पहचान प्राधिकरण भारत सरकार

Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND
SERVICES) ACT,2016 (Aadhaar Act)
Submission Date : 20-10-2022 Aadhaar Number : 438555249613 Application Type : UPDATE
Fields to be updated in [ Mobile, Address, Biometric(photo/fingerprint/Iris)]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT

Full Name: MOSHARAF HOSSEN SK
Address C/O NUR HAQUE SEKH, HATGACHHA/
HATGACHHA, KHASHPARA, KAMARI,
Hatgachha, Kaliganj, Nadia , West Bengal,
741137
Mobile Number: 9539845288
Documents to Carry:

1. Bring original documents for Enrolment/Update. Appointment Id: 1666277152452

No photocopy required. Aadhaar Seva Webel IT Park, Village - Deypara,
2. Original documents are scanned and given back to Kendra Address: Jahangirpur Mouza, Nadia, Pin-
you. 741103
Appointment Date
05-11-2022 (12:40)
Proof of address: and Time:
Certificate of Address issued by Village Panchayat head or its Service Type: Mandatory Biometric and Demographic
equivalent authority for rural areas on UIDAI standard certificate Update ( Mobile, Address,
format for enrolment/update Biometric(photo/fingerprint/Iris) )
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 / I am Non Resident Indian (NRI) &
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 her/his name if stamp is not avaliable.)

Note: In case of Child(< 5 Yrs) or Guardian 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.
List of Documents

Instructions

1. Please reach 15 min early at Aadhaar Seva Kendra and carry printed copy of this Application Form.
2. Carry all the Document(s) selected while filling up the form.
3. 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 List of POA Documents

1. Pensioner Photo Card/Freedom Fighter Photo Card 1. Bank Statement (with Bank stamp & signature of bank
2. RATION/ PDS PHOTO CARD official)/ Passbook/ Post Office Account Statement/
3. DRIVING LICENSE Passbook