CERTIFICATE FOR AADHAAR ENROLMENT/ UPDATE rh
Instructions Al tals tobe len Blok Later
(be vai for 8 mont from de oF sve)
16] [oz] Lzozy
New Enrolment
date Request
Tapes Apa ieopoe pt et eg
CT assnt Non-aentnln
foes 4533 1703 cu)
Falisamer PRAMOD KUMAR
oe TsHuiAg _STNMH
House No Bld. / Apt: FNO B-202
steet/ Road Lane: p.NO.S504,
Landmark Ranl SATI NAUARR
Area cat Stor:
Vitae own ye Tarpok
Designation:
PIAS S Fan Fneine
fice Address:
DWVNL, Vosshe ll Alag-ait
Jor bust
Contact Number:
V~F32 9 [082728
‘hereby certify above mentioned detalls of the resident
(ick approprite box blow)
LD careted omtcer- Group A
1 vie Ponchoyet Head or Mukti
[E-taeees Officer- Group B
[mej muay mic/ muncipal Counctor
verter
end af ecogniced edeatioal inten
Superintendent Wardan/ Matron Head af nstaton
of Rocograed soto homes] Orphansger
LD erro otter
igen’ Photo
EieSoentis CheCausm Teter DeetiGcanas
Is ros sane and cross tame (paper to phot or photo to peper)
“Checks for Cerifier
JIL, VAISHALI NAGAR, JAIPUR
wy
ENGINEER (AV)
NOTE: Ths format appeals fr PO! documents t Nos. 17,20, 2,22, 31 & 52; POA documents aI. Nes. 28,2637, 38,4 845; POR document a I. Nos 13,
£8.38 008 document 3 Si No. 45, 148 18 of Sched ofthe Azdhsar (Enrolment and Uscat)Repuation, 20, ar mended fom sire to ns