Scribd Logo
Upload

Welcome to Scribd!

  • 2K views

    Certificate For Aadhaar Enrolment/: Certifier's Details (To Be Filled by The Certifier Only)

    Uploaded by

    Attala Narasingha Rao
    This document is a certificate for Aadhaar enrolment or update. It contains fields for the resident's details such as name, address, date of birth and photograph. It also contains fields for the certifier's details such as name, designation, office address and contact number. The certifier must check boxes to indicate their role from a list of authorized roles like gazetted officer or village head. They must also sign, stamp and cross-sign the resident's photograph to validate the certificate.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content

    You might also like

    Certificate For Aadhaar Enrolment/: Certifier's Details (To Be Filled by The Certifier Only)

    Uploaded by

    Attala Narasingha Rao
    2K views1 page
    This document is a certificate for Aadhaar enrolment or update. It contains fields for the resident's details such as name, address, date of birth and photograph. It also contains fields for the certifier's details such as name, designation, office address and contact number. The certifier must check boxes to indicate their role from a list of authorized roles like gazetted officer or village head. They must also sign, stamp and cross-sign the resident's photograph to validate the certificate.

    Original Description:

    Original Title

    Aadhar Certificate

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a certificate for Aadhaar enrolment or update. It contains fields for the resident's details such as name, address, date of birth and photograph. It also contains fields for the certifier's details such as name, designation, office address and contact number. The certifier must check boxes to indicate their role from a list of authorized roles like gazetted officer or village head. They must also sign, stamp and cross-sign the resident's photograph to validate the certificate.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    2K views1 page

    Certificate For Aadhaar Enrolment/: Certifier's Details (To Be Filled by The Certifier Only)

    Uploaded by

    Attala Narasingha Rao
    This document is a certificate for Aadhaar enrolment or update. It contains fields for the resident's details such as name, address, date of birth and photograph. It also contains fields for the certifier's details such as name, designation, office address and contact number. The certifier must check boxes to indicate their role from a list of authorized roles like gazetted officer or village head. They must also sign, stamp and cross-sign the resident's photograph to validate the certificate.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    CERTIFICATE FOR AADHAAR ENROLMENT/ UPDATE

    Instructions: All details to be filled in Block Letters (To be valid for 3 months from date of issue)

    To be printed on plain A4 paper size; Not required to print on letter head

    Resident's Details

    Resident Non-Resident Indian (NRI) New Enrolment Update Request

    Aadhaar Number:
    (For update only)

    Full Name:

    C/o:

    House No./ Bldg./ Apt:

    Street/ Road/ Lane:

    Landmark:

    Area/ Locality/ Sector:

    Village/ Town/ City:

    Post Office:

    District:
    Resident's Recent
    Colour Photograph
    State: .Scm x 4.5 cm

    Cross Signed and


    Cross Stamped
    by the Certifier.

    PIN Code: NB: DO NOT


    OVERLAP wITH
    TEXT BOXES
    Signature of the Resident/
    Date of Birth:
    Thumb/FingerImpression

    Certifier's Details (To befilled bythe certifier Only)


    Name of the Certifier:

    Designation:

    Office Address:

    Contact Number:

    Ihereby certify above mentioned details of the resident Checklist for Certifier
    and I am a.... (Tick appropriate box below) No overwriting Issue dateisfilled Resident's signature Certifier's details
    Gazetted Officer- Group A Resident's Photo is cross signed and cross stamped (paper to photo orphoto to paper)

    Village Panchayat Head or Mukhiya


    Gazetted Officer - GroupB
    MP/ MLA/ MLC/ Muncipal Councilor
    Tehsildar
    Head ofRecognized Educational Institution

    Superintendent/ Warden/ Matron/ Head of Institution


    of Recognized shelter homes/ Orphanages
    Signature & Stamp of the Certifier
    EPFOofficer
    NOTE: This format is applicable for POl documents at SI. Nos. 17, 20, 21, 22, 31& 32; POA documents at SI. Nos. 23, 24, 37, 38, 44 & 45; POR documents at Sl. Nos. 13
    & 14 bOB documents at SI. Nos. 4, 5, 14 & 15 of Schedule ll of the Aadhaar (Enrolment and Update) Regulations, 2016, as amended from time to time.

    You might also like