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Aadhaar Form

This document is a certificate that can be used as proof of address for Aadhaar enrolment or update. It contains fields for the resident's details like name, address, date of birth, photograph, and signature. It also contains details of the certifier like name, designation, office address, and contact number. The certifier must be from a list of authorized persons like gazetted officers, elected representatives, or heads of educational institutions. The certifier confirms the resident's details and signs/stamps the certificate, which is then valid for 3 months from the date of issue for Aadhaar enrolment or update purposes.

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bharatbhil9510
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1K views

Aadhaar Form

This document is a certificate that can be used as proof of address for Aadhaar enrolment or update. It contains fields for the resident's details like name, address, date of birth, photograph, and signature. It also contains details of the certifier like name, designation, office address, and contact number. The certifier must be from a list of authorized persons like gazetted officers, elected representatives, or heads of educational institutions. The certifier confirms the resident's details and signs/stamps the certificate, which is then valid for 3 months from the date of issue for Aadhaar enrolment or update purposes.

Uploaded by

bharatbhil9510
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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CERTIFICATE FOR AADHAAR ENROLMENT/ UPDATE (TO BE USED ONLY AS PROOF OF ADDRESS*)

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 be printed 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

Certіfіer’s Details (To be fіlled by the certіfіer 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/ Municipal Councillor
Tehsildar
Head of Recognized Educational Institution
Superintendent/ Warden/ Matron/ Head of Institution
of Recognized shelter homes/ Orphanages
Signature & Stamp of the Certifier
EPFO Officer

*To be used as Proof of Identify (PoI) only in specific cases as mentioned in the list of applicable supporting documents.

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