Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
18 views1 page

Application Jayabal

The document is an Aadhaar update form for an individual named Jayabal Rengasamy, requesting a demographic update of gender. The appointment is scheduled for July 8, 2025, at an Aadhaar Seva Kendra in Madurai, with a successful online payment status. It includes a disclosure statement confirming the applicant's residency and the accuracy of the provided information.

Uploaded by

puyalvadi2023
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
18 views1 page

Application Jayabal

The document is an Aadhaar update form for an individual named Jayabal Rengasamy, requesting a demographic update of gender. The appointment is scheduled for July 8, 2025, at an Aadhaar Seva Kendra in Madurai, with a successful online payment status. It includes a disclosure statement confirming the applicant's residency and the accuracy of the provided information.

Uploaded by

puyalvadi2023
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
You are on page 1/ 1

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 : 26-06- Application Type :
Aadhaar Number : 926992556352
2025 Express
Fields to be updated in [ Gender, ]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: JAYABAL RENGASAMY
Date Of 21-04-1984
Birth/Age:
Gender: Male
Bring original documents for
Enrolment/Update. No photocopy
required.
Original documents are scanned and
given back to you.
Carry/Bring appointment print copy. Appointment Id: 1750910343912
Aadhaar Seva First Floor, PK Towers, 17G,
Kendra Address:
KK Nagar, Melur Main
Road, Opposite District
Court, Madurai - 625020
Appointment
08-07-2025 (11:00)
Date and Time:
Service Type: Demographic Update ( Gender, )
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.

You might also like