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AADHAAR UPDATE FORM
भारतीय िविश� पहचान �ािधकरण भारत सरकार
Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND
SERVICES) ACT,2016 (Aadhaar Act)
Application Type :
Submission Date : 22-03-2024 Aadhaar Number : 356776364582
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: A SATYASAI TEJA
New Full Name: ALLAKA SATYA SAI TEJA
Date Of Birth/ 29-04-1997
Age:
Documents to Carry:
• Bring original documents for Enrolment/Update.
No photocopy required.
• Original documents are scanned and given back to Appointment Id: 1711087923250
you. Aadhaar Seva Ten Square Mall Shop No 228
• Carry/Bring appointment print copy. Kendra Address:
227 226 Jawaharlal Nehru Road
Koyembedu
Proof of identity:
Appointment Date
Marriage Certificate with/without Photograph issued by Central 30-03-2024 (16:30)
and Time:
Govt./ State Govt. (Supporting PoI document of old name and
Service Type: Demographic Update ( Name, )
Photograph is required if the Marriage Certificate is without
Payment Type: Online
Photograph)
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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