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Consent Letter Format

The document provides a format for operators or supervisors to associate themselves with the UIDAI admin portal under enrollment agency code 2189. It requests personal details like full name, father's name, address, educational qualifications, Aadhaar number, certificate number, and employment history including dates of joining present and previous employers. The operator or supervisor must sign to declare that the information provided is true and accurate. The summary is in 3 sentences.

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3K views1 page

Consent Letter Format

The document provides a format for operators or supervisors to associate themselves with the UIDAI admin portal under enrollment agency code 2189. It requests personal details like full name, father's name, address, educational qualifications, Aadhaar number, certificate number, and employment history including dates of joining present and previous employers. The operator or supervisor must sign to declare that the information provided is true and accurate. The summary is in 3 sentences.

Uploaded by

ravisayyes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Format for claim an Operator / Supervisor to associate on the UIDAI admin portal

under EA Code 2189(Signed Stamped by Enrollment Agency)

Operators/Supervisors Format-

Sir/Madam,
I am willing to work with EA CSC SPV Code 2189 as an Operator / Supervisor.
My Details are as below-
Full Name:

Fathers Name:

Address:

Educational Qualification:
(Please tick a Mark to the appropriate option)
10th 12th Graduation Post Graduation Recent
Aadhaar No. of the Operator / Supervisor - Photograph

Certificate No. of the Operator / Supervisor -

It is to affirm further that, I was previously working with the following Enrolment Agency and
willfully joined EA CSC SPV Code 2189 as Operator / Supervisor.

The further details about my employment in concerned area till date is furnished below-
Date of Joining present Employer/EA as Operator / Supervisor
/ /
Date Month Year

The details of previously agency are furnished below.

Name of the previous Employer / Enrolment Agency:

Previous Enrolment Agency Code:

It is hereby declared that the information and particulars furnished above are true and correct
to the best of my/our knowledge and belief and nothing has been concealed.

Place:
Date: Signature of Operator / Supervisor

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