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आधार कार्ड करिता अर्ज
कृपया खालील अर्जात माहिती भरा
Aadhar Enrolment is free and voluntary. Correction within 96 hours of enrolment is also free. No charges are applicable for form and Aadhar enrolment. In case of correction, provide your EID, Name and only that field which needs correction
In case of correction, provide your EID number here:
1
Pre-Enrolment ID:
2
NPR Receipt/TIN Number:
3
Full Name:
4
Gender:
Male
Female
Transgender
5
Age:
Date of Birth:
6
Address:
C/o
D/o
S/o
W/o
H/o
Name
House No/Bldg/Apt:
Street/Road/Lane:
Landmark:
Area/Locality/Sector:
Village/Town/City:
Post Office:
District:
State:
Email:
Mobile:
Pin:
7
Details of:
Father
Mother
Guardian
Husband
Wife
For Children below five years Father/Mother/Guardian's details are mandatory. Adults can opt not to specify this information, if they cannot/do not want to disclose.
Full Name:
EID/Aadhar No.:
8
I have no objection to the UIDAI sharing information provided by me to the UIDAI with agencies engaged in delivery of public services icluding welfare services.
9
Select: one of the below (OPTIONAL) ( This data cannot be Corrected after Enrolment)
I want the UIDAI to facilitate opening of a new Bank/Post Office Account linked to my Aadhar Number and have no objection sharing my information for this purpose.
I have no objection linking my present bank account provided here to my Aadhar Number.
Verification Type:
Document Based
Introducer Based
Head of Family
Select only one of the above. Select Introducer or Head of the Family only if you do not posses any document ary proof of identity and/or address. Introducer ans Head of the Family details are not required in case of document based verification.
10
For Document Based
(Write names of the documents produced. Refer back side of this form for list of valid documents)
a. POI
b. POA
c. DOB
d. POR
(DOB is Mandatory in case of verified Date fo Birth)
11
For Introducer Based -
Introducer's Aadhar No.
For HoF Based-
Details of:
Father
Mother
Guardian
Husband
Wife
I hereby confirm the identity and address of
as being true, correct and accurate.
Consent
I confirm that information (including biometrics) provided by me to the UIDAI and the information contained herein is my own and is true, correct and accurate.
Submit
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