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    SARIFUL

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    CSCGOV EPAN
    This document is an Aadhaar enrolment form for Sariful Sekh. It provides details such as his name, date of birth, address, gender, and appointment details for Aadhaar enrolment. The form lists the documents required for enrolment such as an original birth certificate. It also includes a disclosure section where the applicant confirms their identity and residency in India. Upon completion, the form requires signatures from the applicant and the verifier.

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

    SARIFUL

    Uploaded by

    CSCGOV EPAN
    42 views1 page
    This document is an Aadhaar enrolment form for Sariful Sekh. It provides details such as his name, date of birth, address, gender, and appointment details for Aadhaar enrolment. The form lists the documents required for enrolment such as an original birth certificate. It also includes a disclosure section where the applicant confirms their identity and residency in India. Upon completion, the form requires signatures from the applicant and the verifier.

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    This document is an Aadhaar enrolment form for Sariful Sekh. It provides details such as his name, date of birth, address, gender, and appointment details for Aadhaar enrolment. The form lists the documents required for enrolment such as an original birth certificate. It also includes a disclosure section where the applicant confirms their identity and residency in India. Upon completion, the form requires signatures from the applicant and the verifier.

    Copyright:

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

    SARIFUL

    Uploaded by

    CSCGOV EPAN
    This document is an Aadhaar enrolment form for Sariful Sekh. It provides details such as his name, date of birth, address, gender, and appointment details for Aadhaar enrolment. The form lists the documents required for enrolment such as an original birth certificate. It also includes a disclosure section where the applicant confirms their identity and residency in India. Upon completion, the form requires signatures from the applicant and the verifier.

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    © All Rights Reserved
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    AADHAAR ENROLMENT

    FORM

    (Aadhaar Enrolment is free &


    भारतीय विशिष्ट पहचान प्राधिकरण भारत सरकार
    Voluntary)
    Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND
    SERVICES) ACT,2016 (Aadhaar Act)
    Submission Date : 21-04-2023 Application Type : Enrolment
    Applicant Details Appointment Details

    Resident Type: RESIDENT


    Full Name: SARIFUL SEKH
    Date Of 18-12-2022
    Birth/Age:
    Address C/O NUR MD SHEKH, Chilakhana,
    Tufanganj - I, Cooch Behar , West Bengal,
    736177
    Guardian Name: NUR MD SHEKH
    Guardian 630174530950
    Aadhaar:
    Gender: Male Appointment Id: 1682054303943
    Aadhaar Seva Ground Floor, Ward BSNL
    Documents to Carry: Kendra Address: Administrative Building, Near
    Sagar Dighi, Post Office Cooch
    1. Bring original documents for Enrolment/Update. Behar, West Bengal 736101
    No photocopy required. Appointment Date
    24-04-2023 (15:30)
    2. Original documents are scanned and given back to and Time:
    you.

    Proof of date of birth:


    Birth Certificate issued by Authorized Authority (in the
    respective States) under the Registration of Births and Deaths
    Act, 1969 read with Registration of Births and Deaths Rules
    1999/2000/2002 of respective States
    Proof of relation: Birth Certificate issued by Authorized
    Authority (in the respective States) under the
    Registration of Births and Deaths Act, 1969
    read with Registration of Births and Deaths
    Rules 1999/2000/2002 of respective States.
    I hereby confirm the identity and address of (HOF/Relative Name) (auto populates) as being true, correct and
    accurate.
     
    HOF s Name: Signature of HOF
    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.)
     

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