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Aadhaar Update Form: Aadhaar Enrolment Is Free & Voluntary

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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: 23/06/2021 Application Type : UPDATE AADHAAR Aadhaar No.: 451559577267

Application Details Appointment Details

Full Name: Rajavarapu Kotamma


Resident Type: Indian Resident
Mobile No.: +91-9603603806

EA Name: CSC e-Gov


Registrar Name: CSC e-Gov
Appointment ID: 1624435217248
Enrolment Center Address: Rajvihar Phase-2, Jagjeetpur
Kankhal, Near Divine Light
Public School,Hardwar,Kankhal,
Haridwar,Uttarakhand,249408
Appointment Date: 24/06/2021
Time Slot: 11:30 TO 11:40
Amount To Be Paid: 50.0

Documents to Carry
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 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 having photo issued by Gazetted
Officer or Tehsildar on letterhead
8. Certificate of Identity having photo issued by village
panchayat head or mukhiya or its equivalent authority (for
rural areas)
9. CGHS / ECHS Photo Card
10. Disability ID Card/handicapped medical certificate issued
by the respective State/UT Governments/Administrations
11. Driving License
12. Extract of School Records issued by Head of School
containing name and photo
13. Freedom Fighter Photo Card
14. Gazette notification for name change (with separately
affixed photo)
15. Government Photo ID Cards/ service photo identity card
issued by PSU
16. Kissan Photo Passbook
17. Marriage Certificate with photo
18. NREGS Job Card
19. PAN Card
20. Passport
21. Pensioner Photo Card
22. Photo Bank ATM Card
23. Photo Credit Card
24. Photo ID issued by Recognized Educational Institution
25. Ration/ PDS Photo Card
26. RSBY Card
27. School Leaving Certificate (SLC) / School Transfer
Certificate (TC), containing name and photo
28. SSLC book having candidates photo
29. ST/ SC/ OBC Certificate with photo
30. test
31. Voter ID

List of POA Documents

1. Address Card having Photo issued by Department of Post


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

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