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    Rajkumari

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    seeratmohit0000

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    © All Rights Reserved
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    Rajkumari

    Uploaded by

    seeratmohit0000
    7 views1 page

    Original Title

    rajkumari

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    7 views1 page

    Rajkumari

    Uploaded by

    seeratmohit0000

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    7/13/24, 2:21 PM about:blank

    AADHAAR ENROLMENT
    FORM

    (Aadhaar Enrolment is free &


    भारतीय विशिष्ट पहचान प्राधिकरण भारत सरकार
    Voluntary)
    Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND
    SERVICES) ACT,2016 (Aadhaar Act)
    Submission Date : 13-07-2024 Application Type : Enrolment
    Applicant Details Appointment Details

    Resident Type: RESIDENT


    Full Name: RAJKUMARI
    Date Of 01-01-1947
    Birth/Age:
    Address C/O Praveen Awasthi, Vllage Birampur/
    Post Trilokpur Usmanpur, Near Khanipur,
    Haidergarh Barabanki-225126, Birampur,
    Tilokpur Usmanpur, Bara Banki , Uttar
    Pradesh, 225126
    Email [email protected]
    Gender: Female Appointment Id: 1720860653681
    Documents to Carry: Aadhaar Seva Ground Floor, Ratan Square
    Kendra Address: Mall, Lucknow
    Appointment Date
    15-07-2024 (12:50)
    Bring original documents for Enrolment/Update. and Time:
    No photocopy required.
    Original documents are scanned and given back
    to you.
    Carry/Bring appointment print copy.

    Proof of identity:
    Voter Identity Card Card/e-Voter Identity Card
    Proof of date of birth:
    Birth Certificate issued by Authorized Authority (in the
    respective States) under the Registration of Births and Deaths
    Act, 1969 read with Registration of Births and Deaths Rules
    1999/2000/2002 of respective States
    Proof of address:
    Photograph Identity Card / Certificate with Photograph issued
    by Central Govt./ State Govt. like Bhamashah, Domicile
    Certificate, Resident Certificate, JanAadhaar, MGNREGA/
    NREGS Job Card, Labour Card etc.
    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.

    about:blank 1/1

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