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    Aadhar

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    maddelan779

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    © All Rights Reserved
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    Aadhar

    Uploaded by

    maddelan779
    5 views2 pages

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    © © All Rights Reserved

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    5 views2 pages

    Aadhar

    Uploaded by

    maddelan779

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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 : 13-11-
    Application Type : Enrolment
    2024
    Applicant Details Appointment Details

    Resident Type: RESIDENT


    Full Name: SANA CHINA VENGAIAH
    Date Of 09-11-1937
    Birth/Age:
    Address C/O oc, R.sp, R.spalli, Ramaswamipalli,
    Mahimalur, Mahimalur, Sri Potti
    Sriramulu Nellore , Andhra Pradesh,
    524307
    Gender: Male
    Documents to Carry:
    Appointment Id: 1731510320012
    Aadhaar Seva Ground Floor, WAlI
    Bring original documents for Kendra Address:
    Apartment (Commercial
    Enrolment/Update. No photocopy required.
    Original documents are scanned and given Complex), VIP Road, Doni
    back to you. Colony, Itanagar, Arunachal
    Carry/Bring appointment print copy. Pradesh 791111
    Appointment Date
    14-11-2024 (09:20)
    Proof of identity: and Time:
    Certificate issued on UIDAI Standard Certificate format
    by: Gazetted Officer at NACO/ State Health Department/
    Project Director of the State Aids Control Society or his
    nominee (in pursuance of Honble Supreme Court
    Judgment in Criminal Appeal No(s).135/2010 dated
    19.05.2022)
    Proof of date of birth:
    Mark sheet/ Certificate issued by recognized Board of
    Education/ University
    Proof of address:
    Certificate issued on UIDAI Standard Certificate format
    by: Gazetted Officer at NACO/ State Health Department/
    Project Director of the State Aids Control Society or his
    nominee (in pursuance of Honble Supreme Court
    Judgment in Criminal Appeal No(s).135/2010 dated
    19.05.2022)
    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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