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This document is an Aadhaar update form submitted by Som Tiwari to update his mobile number, date of birth, and biometrics (photo/fingerprint/Iris). The form provides his Aadhaar number, current details, and an appointment at the Aadhaar Seva Kendra in Lucknow on November 26, 2023 at 9:30 AM to complete the mandatory biometric and demographic update. Som Tiwari confirms that he has been residing in India for over 182 days in the last 12 months and that the information provided is true.

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26 views

About Blank

This document is an Aadhaar update form submitted by Som Tiwari to update his mobile number, date of birth, and biometrics (photo/fingerprint/Iris). The form provides his Aadhaar number, current details, and an appointment at the Aadhaar Seva Kendra in Lucknow on November 26, 2023 at 9:30 AM to complete the mandatory biometric and demographic update. Som Tiwari confirms that he has been residing in India for over 182 days in the last 12 months and that the information provided is true.

Uploaded by

tiwarisom62
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AADHAAR UPDATE FORM

भारतीय विशिष्ट पहचान प्राधिकरण भारत सरकार


Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND
SERVICES) ACT,2016 (Aadhaar Act)
Submission Date : 19-11- Application Type :
Aadhaar Number : 296608112477
2023 UPDATE
Fields to be updated in [ Mobile, Date of birth, Biometric(photo/fingerprint/Iris)]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: SOM TIWARI
Date Of 06-02-2004
Birth/Age:
Mobile
9111576513
Number:
Documents to Carry:

Bring original documents for


Enrolment/Update. No photocopy required. Appointment Id: 1700372562804
Original documents are scanned and given Aadhaar Seva Ground Floor, Ratan Square
back to you. Kendra Address:
Mall, Lucknow
Appointment Date
Proof of date of birth: 26-11-2023 (09:30)
and Time:
Birth Certificate issued by Authorized Authority (in the Service Type: Mandatory Biometric and
respective States) under the Registration of Births and Demographic Update ( Mobile, Date
Deaths Act, 1969 read with Registration of Births and of birth,
Deaths Rules 1999/2000/2002 of respective States Biometric(photo/fingerprint/Iris) )
Disclosure under section 3(2) of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL
AND OTHER SUBSIDIES, BENEFITS AND SERVICES) ACT, 2016
I confirm that I have been residing in India for at least 182 days in the preceding 12 months / I am Non Resident
Indian (NRI) & information (including biometrics) provided by me to the UIDAI is my own and is true, correct and
accurate. I am aware that my information including biometrics will be used for generation of Aadhaar and
authentication. I understand that my identity information (except core biometric) may be provided to an agency
only with my consent during authentication or as per the provisions of the Aadhaar Act. I have a right to access my
identity information (except core biometrics) following the procedure laid down by UIDAI.

Verifier's Stamp and Signature Applicant's Signature/Thumbprint


(Verifier must put her/his name if stamp is not avaliable.)

Note: In case of Child(< 5 Yrs) or Guardian based application, Guardian/Relative will be required to accompany the
applicant. In case of incapacitated person, the signature will be done by Legal Guardian of Incapacitated Person.

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