AADHAAR UPDATE

FORM
Aadhaar Enrolment is free & Voluntary.

Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND SERVICES)
ACT,2016 (Aadhaar Act)

Submission Date: 21/07/2022 Application Type : UPDATE AADHAAR Aadhaar No.: 326948756599

Application Details Appointment Details

Full Name: Ayush Raj

Resident Type: Indian Resident
Ayush Raj, F-354, Gujaini,
Bandana Intermediate College,
Address: Gujaini, Udyog Nagar, Udyog
Nagar, Kanpur Nagar, Uttar
Pradesh - 208022

EA Name: Sikkim & West Bengal

Registrar Name: IndusInd Bank
Appointment ID: 1658400236463
Enrolment Center Address: Indusind Bank, Sarda Building,
Opposite SBI, Ta dong,Tadong,
East Sikkim,Sikkim,737102
Appointment Date: 22/07/2022
Time Slot: 13:30 TO 13:40
Amount To Be Paid: 50.0

Documents to Carry
1. POA: School Leaving Certificate (SLC) / School Transfer Certificate (TC), containing Name and Address

I hereby confirm my identity and address as being true, correct and accurate.

Guardian Name: Signature of Guardian

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 & 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 his/her Name, if stamp is not available)

Note: In case of Child(<5Yrs) or Guardian/Relative 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
Instructions

Please reach 15 min early at Aadhaar Seva Kendra and carry printed copy of this Application Form.
Do not damage the QR Code by folding the Application form across it.
Carry all the original Document(s) selected while filling up the form.
Get the printed copy of final application form before leaving the center. Also, please fill the feedback form at the exit counter to
serve you better next time.

List of POI Documents

1. Address Card having Name and Photo issued by

Department of Post
2. Arms License
3. Bank Pass Book having name and photo
4. Bhamashah Card
5. Certificate from Superintendent/ Warden/ Matron/ Head of
Institution of recognized shelter homes for orphanages,
homes etc on their official letter head
6. Certificate of Identity containing name and photo issued
by Recognized Educational Institution signed by Head of
Institute
7. Certificate of identity containing Name, DOB and
Photograph issued by Employees’ Provident Fund
Organisation (EPFO) on UIDAI standard certificate format
for enr
8. Certificate of Identity having photo issued by Gazetted
Officer or Tehsildar on letterhead
9. Certificate of Identity having photo issued by MP or MLA
or MLC or Municipal Councilor on UIDAI standard
certificate format for enrolment/ update
10. Certificate of Identity having photo issued by village
panchayat head or mukhiya or its equivalent authority (for
rural areas)
11. CGHS / ECHS Photo Card
12. Disability ID Card/handicapped medical certificate issued
by the respective State/UT Governments/Administrations
13. Driving License
14. Extract of School Records issued by Head of School
containing name and photo
15. Freedom Fighter Photo Card
16. Gazette notification for name change (with separately
affixed photo)
17. Government Photo ID Cards/ service photo identity card
issued by PSU
18. Kissan Photo Passbook
19. Marriage Certificate with photo
20. NREGS Job Card
21. PAN Card
22. Passport
23. Pensioner Photo Card
24. Photo Bank ATM Card
25. Photo Credit Card
26. Photo ID issued by Recognized Educational Institution
27. Ration/ PDS Photo Card
28. RSBY Card
29. School Leaving Certificate (SLC) / School Transfer
Certificate (TC), containing name and photo
30. SSLC book having candidates photo
31. ST/ SC/ OBC Certificate with photo List of POR Documents
32. Voter ID
1. Address card having name and photo issued by
List of POA Documents Department of Post
2. Any other Central/State government issued family
1. Address Card having Photo issued by Department of Post entitlement document.
2. Allotment letter of accommodation issued by Central/State 3. Army Canteen Card
Govt. (not more than 3 years old) 4. Bhamashah card
3. Arms License 5. Birth Certificate issued by Registrar of Birth, Municipal
4. Bank Statement/Passbook Corporation and other notified local government bodies like
5. Bhamashah card Taluk, Tehsil etc.
6. Caste and Domicile Certificate having Photo issued by 6. Certificate of ldentity having photo and relationship with
State Govt. HOF issued by village panchayat head or mukhiya or its
7. Certificate from Superintendent/ Warden/ Matron/ Head of equivalent authority (for rural areas)
Institution of recognized shelter homes for orphanages 7. Certificate of ldentity having photo issued by MP or MLA or
etc. on letter head MLC or Municipal Councilor or Gazette Officer on
8. Certificate of Address having photo issued by MP or MLA letterhead
or MLC or Gazetted Officer or Tehsildar on letterhead 8. CGHS/State Government/ECHS/ESIC Medical card
9. Certificate of address having photo issued by Municipal 9. Discharge card/ slip issued by Government hospitals for
Councilor on letterhead birth of a child
10. Certificate of Address issued by Village Panchayat head 10. Marriage Certificate issued by the government
or its equivalent authority (for rural areas) 11. NREGS Job Card
11. Certificate of Identity containing Name, Address and 12. Passport
Photo issued by Recognized Educational Institution 13. PDS Card
signed by Head of Institute 14. Pension Card
12. Certificate of identity containing Name, DOB and
Photograph issued by Employees’ Provident Fund List of DOB Documents
Organisation (EPFO) on UIDAI standard certificate format
for enr 1. Birth Certificate
13. CGHS/ECHS Card 2. Central Government Health Service Scheme Photo Card
14. Credit Card Statement (not older than 3 months) or Ex-Servicemen Contributory Health Scheme Photo card.
15. Disability ID Card/handicapped medical certificate issued 3. Central/State Pension Payment Order
by the respective State/UT Governments/Administrations 4. Certificate of Date of Birth issued by Group A Gazetted
16. Driving License Officer on Letterhead
17. Electricity Bill (not older than 3 months) 5. Certificate of identity containing Name, DOB and
18. Extract of School Records containing Name, Address and Photograph issued by Employees’ Provident Fund
Photo issued by Head of School Organisation (EPFO) on UIDAI standard certificate format
19. Freedom Fighter Card for enr
20. Gas Connection Bill (not older than 3 months) 6. Certificate of Identity containing Name, DOB and Photo
21. Government Photo ID cards/ service photo identity card issued by Recognized Educational Institution signed by
issued by PSU Head of Institute
22. Income Tax Assessment Order 7. Extract of School Records issued by Head of School
23. Insurance Policy containing Name, Date of Birth and Photo
24. Kissan Passbook 8. Government issued certificate (or card) having photo and
25. ldentity Card issued by recognized educational institutions duly signed by the signing authority
26. Marriage Certificate Issued by the Govt, containing name 9. Government Photo ID Card/ Photo Identity Card issued by
and address PSU containing DOB
27. NREGS Job Card 10. Mark sheet issued by any Government Board or
28. Passport Recognized University
29. Passport of Parents (in case of Minor) 11. PAN Card
30. Passport of Spouse
12. Passport
31. Pensioner Card
13. Photo ID having Date of Birth issued by Recognized
32. Post Office Account Statement/Passbook
Educational Institution
33. Property Tax Receipt (not older than 1 year)
14. School Leaving Certificate (SLC)/School Transfer
34. Ration Card
Certificate (TC), containing Name and Date of Birth
35. Registered Sale/Registered Lease/Registered Rent
15. SSLC Book/Certificate
Agreement
36. School ldentity Card
37. School Leaving Certificate (SLC) / School Transfer
Certificate (TC), containing Name and Address
38. Signed Letter having Photo from Bank on letterhead
39. Signed Letter having Photo issued by Recognized
Educational Institution on letterhead or Photo ID having
address issued by Recognized Educational Institution.
40. Signed Letter having Photo issued by registered Company
on letterhead
41. SSLC book having photo
42. Telephone Landline Bill (not older than 3 months)
43. Vehicle Registration Certificate
44. Voter ID
45. Water bill (not older than 3 months)