5 18
5 18
5 18
For (a) Resident Indian child, or (b) Non-Resident Indian child having Proof of Address in India
(aged 5 years and above and less than 18 years)
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) Address: Care of (optional):
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 demographic information, additional information and documents presented:
(a) Details of HoF: (i) Name: Aadhaar no.:
(ii) Relationship with the child: Mother Father 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 confirm the identity of the child named above and that she/he is related to me as mentioned. I hereby consent that the address
recorded against my Aadhaar number may be recorded as the address against the Aadhaar number of the child and that my
biometric information may be used to establish my identity.
Signature of HoF: