Adhar Appointment

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AADHAAR UPDATE FORM

भारतीय �व�श� पहचान �ा�धकरण भारत सरकार

Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND
SERVICES) ACT,2016 (Aadhaar Act)
Submission Date : Application Type :
Aadhaar Number : 630795124879
25-08-2023 UPDATE
Fields to be updated in [ Mobile, Date of birth, ]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: KULSUM BIWI
Date Of 01-01-1985
Birth/Age:
Mobile Number: 6291924504
Documents to Carry:

• Bring original documents for Enrolment/Update.


No photocopy required. Appointment Id: 1692978530338
• Original documents are scanned and given back Aadhaar Seva Asyst Park, Salt Lake, Sector-v,
to you. Kendra Address:
Block GN-37/1, Kolkata-
Proof of date of birth: 700091
For exception cases of DoB Change: Self Declaration as Appointment Date
27-08-2023 (10:50)
per notified format along with Birth Certificate issued by and Time:
Authorized Authority (in the respective States) under the Service Type: Demographic Update ( Mobile, Date of
Registration of Births and Deaths Act, 1969 read with birth, )
Registration of Births and Deaths Rules 1999/2000/2002 Payment Type: Online
of respective States 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.)

1 of 2 8/25/23, 21:22
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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.

2 of 2 8/25/23, 21:22

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