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    MLA

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    sxpcybercafe
    This document is a certificate for Aadhaar enrolment or update. It contains fields for the resident's details such as name, address, date of birth and photograph. It also contains details for the certifier such as their name, designation, office address and contact number. The certifier must sign and stamp the resident's photograph to certify the resident's identity details before the form can be submitted for Aadhaar enrolment or update.

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

    MLA

    Uploaded by

    sxpcybercafe
    193 views1 page
    This document is a certificate for Aadhaar enrolment or update. It contains fields for the resident's details such as name, address, date of birth and photograph. It also contains details for the certifier such as their name, designation, office address and contact number. The certifier must sign and stamp the resident's photograph to certify the resident's identity details before the form can be submitted for Aadhaar enrolment or update.

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    This document is a certificate for Aadhaar enrolment or update. It contains fields for the resident's details such as name, address, date of birth and photograph. It also contains details for the certifier such as their name, designation, office address and contact number. The certifier must sign and stamp the resident's photograph to certify the resident's identity details before the form can be submitted for Aadhaar enrolment or update.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    193 views1 page

    MLA

    Uploaded by

    sxpcybercafe
    This document is a certificate for Aadhaar enrolment or update. It contains fields for the resident's details such as name, address, date of birth and photograph. It also contains details for the certifier such as their name, designation, office address and contact number. The certifier must sign and stamp the resident's photograph to certify the resident's identity details before the form can be submitted for Aadhaar enrolment or update.

    Copyright:

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

    CERTIFICATE FOR AADHAAR ENROLMENT/ UPDATE

    Instructions: All details to be filled in Block Letters  (To be valid for 3 months from date of issue)

    To be printed on plain A4 paper size; Not required to print on letter head; D D M M Y Y Y Y


    Resident’s Details
    Resident Non-Resident Indian (NRI) New Enrolment Update Request

    Aadhaar Number:
    (For update only)

    Full Name:

    C/o:

    House No./ Bldg./ Apt:

    Street/ Road/ Lane:

    Landmark:

    Area/ Locality/ Sector:

    Village/ Town/ City:

    Post Office:

    District:
    Resident’s Recent
    State: Colour Photograph
    3.5cm x 4.5 cm

    Cross Signed and


    Cross Stamped
    by the Certifier.

    PIN Code: NB: DO NOT


    OVERLAP WITH
    TEXT BOXES
    Signature of the Resident/
    Date of Birth: Thumb/ Finger Impression

    Certifier’s Details (To be filled by the certifier Only)


    Name of the Certifier:

    Designation:

    Office Address:

    Contact Number:

    I hereby certify above mentioned details of the resident Checklist for Certifier
    and I am a.... (Tick appropriate box below) No overwriting Issue date is filled Resident’s signature Certifier’s details
    Gazetted Officer - Group A Resident’s Photo is cross signed and cross stamped (paper to photo or photo to paper)

    Village Panchayat Head or Mukhiya


    Gazetted Officer - Group B
    MP/ MLA/ MLC/ Muncipal Councilor
    Tehsildar
    Head of Recognized Educational Institution
    Superintendent/ Warden/ Matron/ Head of Institution
    of Recognized shelter homes/ Orphanages
    Signature & Stamp of the Certifier
    EPFO Officer

    NOTE: This format is applicable for POI documents at SI. Nos. 17, 20, 21, 22, 31 & 32; POA documents at SI. Nos. 23, 24, 37, 38, 44 & 45; POR documents at SI. Nos. 13
    & 14 DOB documents at SI. Nos. 4, 5, 14 & 15 of Schedule II of the Aadhaar (Enrolment and Update) Regulations, 2016, as amended from time to time.

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