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Application by Post 0.2 - Form - Application - Form - 11102012
Application by Post 0.2 - Form - Application - Form - 11102012
Application by Post 0.2 - Form - Application - Form - 11102012
P
This form is used for sending Update/ Correcction Requests through Post. Use capital letters only. Fill the com
mplete form
irrespective of the field/ s for update/ correcction. Providing mobile number is mandatory for Update/ Chang
ge in any of the fields.
Name
Gender
Date of Birth
Addre
ess
Mobile
Residents Name
Gender
Select ( )
Date of Birth
| DD | MM | YYYY |
Address
C/ O Details
Select ( )
NAME
C/o ( ) D/ o ( ) S/ o ( ) W/ o ( ) H/ o ( )
NAME
| | | | | | |
Mobile No (mandatory) | | | | | | | | | | |
E Mail (optional)
Document Details (Write Names of the document s attached. Refer Annexure I for Valid documents)
a. POI
b. DOB
c. POA
I confirm that I have read the instructionss carefully and the information provided by me to th
he UIDAI and the information
contained herein is true, correct and accu
urate.
Applicantts signature/ Thumbprint