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Rina

This document is an Aadhaar update form for an individual named Rina Khatun, requesting a name change from Rina Khatn. The application includes details such as the Aadhaar number, date of birth, appointment information, and required documents for the update process. It also contains a disclosure statement confirming the applicant's residency and the accuracy of the information provided.

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Rohit Kamti
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8 views1 page

Rina

This document is an Aadhaar update form for an individual named Rina Khatun, requesting a name change from Rina Khatn. The application includes details such as the Aadhaar number, date of birth, appointment information, and required documents for the update process. It also contains a disclosure statement confirming the applicant's residency and the accuracy of the information provided.

Uploaded by

Rohit Kamti
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 : 08-01- Application Type :
Aadhaar Number : 547755122515
2025 UPDATE
Fields to be updated in [Name, ]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: RINA KHATN
New Full RINA KHATUN
Name:
Date Of 18-03-1981
Birth/Age:
Documents to Carry:

Bring original documents for


Enrolment/Update. No photocopy required. Appointment Id: 1736300472506
Original documents are scanned and given Aadhaar Seva Ground floor, Mallar
back to you. Kendra Address:
Carry/Bring appointment print copy. Mukherjee Building, Holding
No.22/19/18. S.B. Sarani ward
Proof of identity: no. XI Rajni Bagan(North),
Voter Identity Card Card/e-Voter Identity Card Siliguri, West Bengal, Pin-
734001
Appointment Date
09-01-2025 (15:10)
and Time:
Service Type: Demographic Update ( Name, )
Payment Type: Online
Payment Status: Success
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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