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This document is a certificate for updating Aadhaar details. It provides instructions for filling out the form in block letters. The resident's details like Aadhaar number, full name, address, date of birth and photograph need to be included. The certifier's details like name, designation, office address and contact number also must be provided. The certifier needs to sign and stamp the form after verifying the resident's identity and details. The certifier can be a gazetted officer, village head, educational institution head or other approved authority.

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2K views1 page

Img 0002

This document is a certificate for updating Aadhaar details. It provides instructions for filling out the form in block letters. The resident's details like Aadhaar number, full name, address, date of birth and photograph need to be included. The certifier's details like name, designation, office address and contact number also must be provided. The certifier needs to sign and stamp the form after verifying the resident's identity and details. The certifier can be a gazetted officer, village head, educational institution head or other approved authority.

Uploaded by

rteyuu fhtg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CERTIFICATE FOR AADHAAR EN UPDATE

lnstructions: All details to be filled in Block l-etters (To be volid for 3 months lrom date ol ixue)

To be printed on ploin A4 poper size; Not required to print on letter heod;

Resident's Details
Resident
l-l ruon-nesident lndian (NRI) New Enrolment
[--l upo.,"Request

Aadhaar Numbet:
(For update only)

Full Name:

clo:

House No./ Blde./ Apt:

Street/ Road/ Lane:

Landmark:

Area/ Locality/ Sector:

Village/ Townl City:

Post Office:

District:
Resident's Recent
State: Colour Photograph
3.5cm x rLS cm

Cross Signed and


Cross Stamped
by the Certifier.

PIN Code: NB: DO NOT


OVERTAP wlTH
TDO BOXES
Signature of the Resident/
Date of Birth:
Thumb/ Finger lmpression

Certifier's Details be filled by the certifier


Name of the Certifier:

Designation:

Office Address:

Contact Number:

I hereby certify aboe mentioned details of the resident Checklist for Certifier
and I am a.... (Tick appropriate box below) filled
fl No overwriting I lssue date is fl Resident,s sitnature I Certifier,s details
l-l Gazetted Officer - Group A I Resident's Photo is cross signed and cross stam ped lpaper to photo or photo to poper)

f] viltage Panchayat Head or Mukhiya


[-l Gazetted Officer - 6roup B
f] ,rl MW MLc/ Muncipat Councitor
I tehsildar
f] Heaa of Recognized Educational lnstitution
l-l Superintendent/ Warden / Matron/Head of lnstitution
of Recognized shelter homes/ Orphanages

I errooffi..t Signature & Stamp of the Cerhfier

NoTE: This format is applicable for POI documents at Sl. Nos. 77, 2c., 2!,22, 3t & 32; PoA documents at Sl. Nos. 23,24, 31, 38, 44 & 43; poR documents at Sl. Nos. 13
& 14DOB documents at Sl. Nos. 4, 5, 14 & 15 of Schedule ll of the Aadhaar (Enrolment and Update) Regulations, 2016, as amended from time to time.

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