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    The document is an enrollment/update form for Aadhaar, India's national identity program. It collects demographic and identity information for enrollment of resident Indian or non-resident Indian children under 5. The form requires details like name, gender, date of birth, address, identity documents, and consent from a parent or legal guardian.

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    0-5 Year OLD

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    uv43573
    6K views1 page
    The document is an enrollment/update form for Aadhaar, India's national identity program. It collects demographic and identity information for enrollment of resident Indian or non-resident Indian children under 5. The form requires details like name, gender, date of birth, address, identity documents, and consent from a parent or legal guardian.

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    The document is an enrollment/update form for Aadhaar, India's national identity program. It collects demographic and identity information for enrollment of resident Indian or non-resident Indian children under 5. The form requires details like name, gender, date of birth, address, identity documents, and consent from a parent or legal guardian.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6K views1 page

    0-5 Year OLD

    Uploaded by

    uv43573
    The document is an enrollment/update form for Aadhaar, India's national identity program. It collects demographic and identity information for enrollment of resident Indian or non-resident Indian children under 5. The form requires details like name, gender, date of birth, address, identity documents, and consent from a parent or legal guardian.

    Copyright:

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

    FORM 5: Aadhaar Enrolment and Update

    For (a) Resident Indian child, or (b) Non-Resident Indian child having Proof of Address in India
    (below 5 years of age)
    Please follow the instructions given below this form and use only upper case (block or capital) letters.
    1 Purpose: Enrolment OR Update
    2 Resident status: Resident Indian OR Non-Resident Indian (NRI) {See paragraph 1(c) of the declaration below this form}
    3 Demographic information (For update, please fill only the information to be updated):
    (a) Name:
    (Please fill as given in the document presented in support of the POI, while omitting any titles, honorifics and aliases)
    (b) Gender: Female (c) Date of Birth: OR (DDMMYYYY) OR Age: years
    Male Verified OR Declared OR Approximate (only for age)
    Third gender / Transgender (For declared or approximate, only year of declared/approximate birth will be printed on Aadhaar card)
    (d) Email: (e) Mobile number:
    4 Basis of enrolment/update: Document verification OR Confirmation by Head(s) of Family {HoF(s)}
    5 For document-based enrolment/update, additional demographic information and documents presented:
    (Address information should be filled only in case of enrolment or update of address)
    (a) Care of (optional):
    Address:
    House no. / Building / Flat no.: Street:
    Landmark: Ward no.: Area/Locality/Sector:
    Village/Town/City: Post Office (mandatory): PIN code (mandatory):
    Sub-district: District: State:
    (b) Type of documents presented: (i) Proof of Identity (POI):
    (See “List of acceptable supporting (ii) Proof of Address (POA):
    documents” displayed on the website of
    UIDAI and enrolment centres)
    (iii) Proof of Date of Birth (PDB) (optional):
    6 For HoF-based enrolment or update of address, additional information and documents presented:
    (a) Details (i) Name of child’s mother: Aadhaar no.:
    of AND/OR
    HoF(s): (ii) Name of child’s father: Aadhaar no.:
    (iii) If details of only one parent are given, whether the other Yes No
    parent is currently not residing with the child:
    OR
    (iv) Name of legal guardian: Aadhaar no.:
    (v) Relationship with the child: Mother AND/OR Father OR Legal guardian
    (b) Type of Proof of Relationship (POR) document presented:
    (See “List of acceptable supporting documents” displayed on the website of UIDAI and enrolment centres)
    I/We confirm the identity of the child named above and that she/he is related to me/us as mentioned. I/we hereby consent that
    my biometric information, or that of either of us, may be used to establish the identity of one of us through biometric-based
    authentication, and that the address recorded against the authenticated Aadhaar number may be recorded as the address against
    the Aadhaar number of the child.
    AND/OR OR
    Signature of: Mother: Father: Legal guardian:
    7 For update, additional information:
    (a) Aadhaar number of the child:
    (b) Information to be updated: Biometric (photo) Name Date of Birth
    Gender Address Mobile Email Update of POI and POA documents
    Declaration
    1. I/We hereby confirm and declare that—
    (a) all the information and documents submitted is correct to the best of my/our knowledge and belief;
    (b) I am / we are entitled to the documents/information evidencing proofs cited above; and
    (c) the child is a resident of India (resided in India for 182 days or more in 12 months immediately preceding the child’s
    enrolment) OR that the child is a Non-Resident Indian (valid Indian passport holding citizen who is not resident of India).
    2. I/We understand that if the above declaration is found to be incorrect, the Aadhaar number of the child may be deactivated and,
    in addition, action may be taken against me/us as per law.
    3. I/We understand that the above information may be used, disclosed or shared in accordance with the Aadhaar (Targeted
    Delivery of Financial and Other Subsidies, Benefits and Services) Act, 2016 and regulations made thereunder.
    4. I/We hereby give my/our consent for electronically obtaining information evidencing proof of identity, address, birth and/or
    relationship from the databases of the authorities dealing with the preparation or maintenance of such information and for sharing
    the above information and documents with government agencies and/or any such authority, for the purpose of verification.
    AND/OR OR
    Signature of: Mother: Father: Legal guardian:
    Signature of verifier: Name of verifier: Date and time:

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