18/06/2020

AADHAAR UPDATE FORM

भारतीय िविश ट पहचान प्रािधकरण भारत सरकार

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

Submission Date : 18-06-2020 Aadhaar Number : 363639730431 Application Type : Express

Fields To Be Updated In Aadhaar:( Mobile, Email, )*
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT

Full Name: SHUBHAM YADAV
Email [email protected]
Mobile Number: 7999698879

Appointment Id: 1592499797956

1st Floor, Aashima Mall,
Aadhaar Seva Kendra Address: Hoshangabad Road,
Bhopal, MP
Appointment Date And Time: 19-06-2020 (16:10)
Demographic Update ( Mobile,
Service Type:
Email, )
Payment Type: Online
Payment Status: Success

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.

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Instructions
Please reach 15 min early at Aadhaar Seva Kendra and carry printed copy of this Application Form.
Carry all the 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 y
better next time.

List Of POI Documents 8. Address Card Having Name And Photo Issued By Department Of Posts
9. Bhamashah Card
1. Passport 10. Discharge Card/ Slip Issued By Government Hospitals For Birth Of A
2. PAN Card Child
3. Ration/ PDS Photo Card 11. Certificate Of Ldentity Having Photo Issued By MP Or MLA Or MLC Or
4. Voter ID Municipal Councillor Or Gazetted Officer On Letterhead
5. Driving License 12. Certificate Of Ldentity Having Photo And Relationship With HoF Issued
6. Government Photo ID Cards/ Service Photo Identity Card Issued By PSU By
7. NREGS Job Card 13. Passport
8. Photo ID Issued By Recognized Educational Institution 14. Birth Certificate Issued By Registrar Of Birth, Municipal Corporation
9. Arms License And Other Notified Local Government Bodies Like Taluk, Tehsil Etc.
10. Photo Bank ATM Card
11. Photo Credit Card List Of POA Documents
12. Pensioner Photo Card
13. Freedom Fighter Photo Card 1. Passport
14. Kissan Photo Passbook 2. Bank Statement/ Passbook
15. CGHS/ECHS Photo Card 3. Post Office Account Statement/Passbook
16. Address Card Having Name And Photo Issued By Department Of Posts 4. Ration Card
17. Certificate Of Identify Having Photo Issued By Gazetted Officer Or 5. Voter ID
Tehsildar On Letterhead 6. Driving License
18. Disability ID Card/Handicapped Medical Certificate Issued By The 7. Government Photo ID Cards/ Service Photo Identity Card Issued By PSU
Respective State/UT Governments/Administrations 8. Electricity Bill (Not Older Than 3 Months)
19. Bhamashah Card 9. Water Bill (Not Older Than 3 Months)
20. Certificate From Superintendent/ Warden/ Matron/ Head Of Institution Of 10. Telephone Landline Bill (Not Older Than 3 Months)
Recognized Shelter Homes For Orphanages, Homes Etc On Their Official 11. Property Tax Receipt (Not Older Than One Year)
Letterhead 12. Credit Card Statement (Not Older Than 3 Months)
21. Certificate Of Ldentity Having Photo Issued By MP Or MLA Or MLC Or 13. Insurance Policy
Municipal Councillor On Letterhead 14. Signed Letter Having Photo From Bank On Letterhead
22. Certificate Of Identity Having Photo Issued By Village Panchayat Head 15. Signed Letter Having Photo Issued By Registered Company Onletterhead
Or Mukhiya (For Rural Areas) 16. Signed Letter Having Photo Issued By Recognized Educational Institution
23. Gazette Notification For Name Change On Letterhead Or Photo ID Having Address Issued By Recognized
24. Marriage Certificate With Photograph Educational Institution
25. RSBY Card 17. NREGS Job Card
26. SSLC Book Having Candidates Photograph 18. Rms License
27. ST/ SC/ OBC Certificate With Photograph 19. Pensioner Card
28. School Leaving Certificate (SLC)/ School Transfer Certificate (TC), 20. Freedom Fighter Card
Containing Name And Photograph 21. Kissan Passbook
29. Extract Of School Records Issued By Head Of School Containing Name 22. CGHS / ECHS Card
And Photograph 23. Certificate Of Address Having Photo Issued By MP Or MLA Or Gazetted
30. Bank Pass Book Having Name And Photograph Officer Or Tehsildar On Letterhead
31. Certificate Of Identity Containing Name And Photograph Issued 24. Certificate Of Address Issued By Village Panchayat Head Or Its
Equivalent Authority (For Rural Areas)
List Of DOB Documents 25. Income Tax Assessment Order
26. Vehicle Registration Certificate
1. Birth Certificate 27. Registered Sale / Lease / Rent Agreement
2. SSLC Book/Certificate 28. Address Card Having Photo Issued By Department Of Posts
3. Passport 29. Caste And Domicile Certificate Having Photo Issued By State Govt.
4. Certificate Of Date Of Birth Issued By Group A Gazetted Officer 30. Disability ID Card/Handicapped Medical Certificate Issued By
OnLetterhead Therespective State/UT Governments/Administrations
5. A Certificate Or ID Card Having Photo And Date Of Birth (DOB) Duly 31. Gas Connection Bill (Not Older Than 3 Months)
Signed And Issued By A Government Authority 32. Passport Of Spouse
6. Photo ID Card Having Date Of Birth, Issued By Recognized Educational 33. Passport Of Parents(In Case Of Minor)
Institution 34. Allotment Letter Of Accommodation Issued By Central/State Govt.Of
7. PAN Card Not More Than 3 Years Old.
8. Marksheet Issued By Any Govt. Board Or University 35. Marriage Certificate Issued By The Government, Containingaddress.
9. Govt. Photo ID Card/Photo Identity Card Issued By PSU Containing 36. Bhamashah Card
DoB. 37. Certificate From Superintendent/ Warden/ Matron/ Head Of Institution Of
10. Central/State Pension Payment Order. Recognized Shelter Homes For Orphanages, Homes Etc. On Letter Head
11. Central Govt. Health Service Scheme Photo Card Or Ex-Servicemen 38. Certificate Of Address Having Photo Issued By Municipal Councillor On
12. School Leaving Certificate (SLC)/ School Transfer Certificate (TC), Letterhead
Containing Name And Date Of Birth 39. Identity Card Issued By Recognized Educational Institutions
13. Extract Of School Records Issued By Head Of School Containing Name, 40. SSLC Book Having Photograph
Date Of Birth And Photograph 41. School Identity Card
14. Certificate Of Identity Containing Name, DOB And Photograph Issued 42. School Leaving Certificate (SLC)/ School Transfer Certificate (TC),
By Recognized Educational Institution Signed By Head Of Institute Containing Name And Address
43. Extract Of School Records Containing Name, Address And Photograph
List Of POR Documents Issued By Head Of School
44. Certificate Of Identity Containing Name, Address And Photograph Issued
1. PDS Card By Recognized Educational Institution Signed By Head Of Institute
2. MNREGA Job Card
3. CGHS/State Government/ECHS/ESIC Medical Card
4. Pension Card
5. Army Canteen Card
6. Any Other Central/State Government Issued Familyentitlement Document
7. Marriage Certificate Issued By The Government.

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