Aadhar Card Enrolment Form

Aadhar Card Enrolment Form

1. Hkkjrh; fof'k"V igpku izkf/kdj.k
;kstuk vk;ksx] Hkkjr ljdkj
;g vkosnu i= fu%'kqYd gS
THIS ENROLMENT FORM IS FREE
Ñi;k ,d ckj gh ukekadu djk;s
PLEASE ENROL ONLY ONCE
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cSad dk uke o ’kk[kk%Note : Please use CAPITAL letters
Date _ _ / _ _ / _ _ _ _
Part A – Primary Details
Name: ______________________________________________________________________________________________
Date of Birth: _ _ / _ _ / _ _ _ _ If not known, Age: _ _ _ Date of Birth Document (List overleaf) _______________________________
Gender: Male Female Transgender
Residential address:
c/o: _______________________________________________________________________________________________________________
House No. and Name: ______________________________________________________________________________
___________________________________________________________________________________________________________________
Street No. and Name: _________________________________________________________________________
___________________________________________________________________________________________________________________
Landmark: _______________________________________________________________________________________________
Village / City: ______________________________________________________________________________________________
District: ______________________________________________________________________________________________________
State: ______________________ Pin code:
Part B - Verification
Proof of Address Document: Proof of Identity Document:
List Overleaf) List Overleaf)
or
Introducer Name: Introducer or Head of Family's EID No./Aadhaar No.:
_______________________________________________ _________________________________________________________________
Head of Family Name: Relationship Document:
_______________________________________________ _________________________________________________________________
Instructions Overleaf) List Overleaf)
Mother Father Husband Guardian's Name
5
(Name of Mother/Father/Guardian is must for children below 5 years of age)
Part C - Additional Information
Phone No. / Mobile No. (optional):
Email (optional): ________________________________________________________________________________________
Information Sharing Consent : Yes No
Part D - Financial Information
I want to open UID enabled bank A/c.
I want to link my existing bank A/c to Aadhaar Number and I have no objection on this issue.
Bank Name and Branch ______________________________________________________________________________
A/c No. ______________________________________________________
:
(
or
( (
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¼
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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Version 1.1

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iathdj.k ds ckn Mkd }kjk vk/kkj i= vkus esa 90 fnuksa dk le; yx ldrk gSA
The Aadhaar Enrolment process is completely free. Please don’t pay anyone for any services like obtaining/filling form, photocopy, enrolment process or
help of introducer./
Aadhaar is issued only once in your lifetime. Please do not apply for a second Aadhaar number.
Aadhaar number is for everyone – from newborns to persons of any age. Get your whole family enrolled.
Clearly express your CONSENT for opening of bank account, linking your bank account or mobile number with Aadhaar and data sharing.
Please recheck your entries in the acknowledgement slip. In case of any error, please let the operator know within 48 hours of enrolment.
Please keep the acknowledgment slip safely. You can use the Enrolment ID (given in acknowledgment slip) for future reference.
After enrolment your Aadhaar letter can take up to 90 days to reach you by post.
bu ckrksa dk /;ku j[ksaImportant Points to Remember
1. Passport
2. PAN Card
3. Ration/PDS Photo Card
4. Voter ID
5. Driving Licence
6. Government Photo ID Cards/Service Photo
identity by PSU.
7. NREGS Job Card
8.
Photo ID issued by Recognized Educational Institution
9. Arms Licence
10. Photo Bank ATM Card
11. Photo Credit Card
12. Pensioner Photo Card
13. Freedom Fighter Photo Card
14. Kissan Photo Passbook
15. CGHS/ECHS Photo Card
16. Address Card
having Name and Photo issued by Department of Posts
17.
Certificate of Identify having photo issued by any Gazetted Officer on
Tehsildaron letter head
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1. Passport
2. Bank Statement/Passbook
3. Post Office Account Statement/
Passbook
4. Ration Card
5. Voter ID
6. Driving Licence
7. Government Photo ID Cards
8. Electricity Bill (not older than 3
months)
9. Water Bill (not older than 3
months)
10. Telephone Landline Bill
(not older than 3 months)
11. Property Tax Receipt (not older
than 3 months)
12. Credit Card Statement (not
older than 3 months)
13. Insurance Policy
14. Signed Letter
having Photo From Bank on letterhead
15.
Signed Letter having Photo issued by registered Company on
letterhead
16.
Signed Letter having Photo issued by Recognized Educational
Instruction on letterhead
17. NREGA Job Card
18. Arms License
19. Pensioner Card
20. Freedom Fighter Card
21. Kissan Passbook
22. CGHS/ECHS Card
23.
Certificate of Address having photo issued by
MP or MLA or Group 'A' Gazetted Officer on letterhead
24.
Certificate of Address issued by Village Panchayat head or
its equivalent authority (for rural areas)
25. Income Tax Assessment Order
26. Vehicle Registration Certificate
27. Registered Sale / Lease / Rent
Agreement
28. Address Card
having Photo issued by Department of Posts
29.
Caste and Domicile Certificate having Photo issued by State Govt.
30. Gas Connection Bill (not older
than 3 months)
31. Passport of Spouse
32. Passport of Parents (in
case of minor)
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A
tUefrfFk izek.k nLrkost+List of Documents for Vefifying DoB
1. Birth Certificate
2. SSLC Book/Certificate
3. Passport
4.
Certificate of Date of Birth issued by Group A Gazetted Officer on
letterhead
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List of Documents for Vefifying Head of Family
1. PDS Card
2. MNREGA Job Card
3.
CGHS/State Government/ECHS/ESIC Medical Card
4. Pension Card
5. Army Canteen Card
6. Passport
7. Any other Central/
State Government issued family entitlement document
8. Address card
having Name and Photo issued by Department of Posts
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igpku izek.k nLrkost+List of Documents for Vefifying Proof of Identityvkokl izek.k nLrkost+List of Documents for Vefifying Proof of Address