CERTIFICATE FOR AADHAAR ENROLMENT/ UPDATE (obe valid jor 3 months fam date of sue) Instructions: All detals tbe filed in Block Letters ee ee [ reer Verdana Se a ees fulhane oo House No./ Bldg./ Apt: ‘Street/Road/ Lane: oe Area Locality/ Sector: ‘Village/ Town/ City: ras ofc vet: eS a aes cris as om a Se ae Mam the Corte: oe ome ts ee ‘andtam Gazetted Officer - Group A Garetted Officer - Group 8 Tehsildar Oo000000 fs PFO Officer hereby certiy above mentioned detals ofthe resident (Mik appropriate box below) ‘Vilage Panchayat Head or Mukhiya (MP/ MLA/ MLC/ Muncipal Councilor Head of Recognized Educational Institution ‘Superintendent/ Warden Matron/ Head of insttution ‘of Recognized shelter homes/ Orphanages ‘Checklist for Certiior LAnooverwritng Cisuedateis fled [Resident's signature carter’ detais sesidon’s photo is ss signed and eros stamped (pope o photo or photo to paper! sleratr stamp ft cerier [NOTE This formats applicable for PO! document tS. Nos, 17,20, 2, 22,31 832; POA documents at Sl. Nos.23, 24, 37,38, 44& 45; POR documents 3 Sl Nos. 12 {14.008 documents a. Nos. 45,34 8 5 of Schedule! ofthe Aadhaar (Enrolment end Update) Regulations, 2016, as amended from ime to tine