Aadhaar Enrolment / Correction Form printable pdf download

Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND SERVICES) ACT, 2016 (Aadhaar Act)

AADHAAR ENROLMENT / CORRECTION FORM

Aadhaar Enrolment is free and voluntary. Correction within 96 hours of enrolment is also free. No charges are applicable for Form

and Aadhaar Enrolment. In case of Correction provide your EID, Name and only that field which needs Correction.

In case of Correction provide your EID No here:

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Please follow the instructions overleaf while filling up the form. Use capital letters only.

Pre-Enrolment ID :

NPR Receipt/TIN Number :

Full Name:

Age:

Yrs

Date of

Birth:| DD | MM | YYYY |

Gender:

Male ( ) Female ( ) Transgender ( )

Declared

Verified

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

Sub-District

State

E Mail

Mobile No

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PIN CODE

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Details of : Father ( ) Mother ( ) Guardian ( ) Husband ( ) Wife ( )

For children below 5 years Father/Mother/Guardian’s details are mandatory. Adults can opt to not specify this information, if they cannot/do not want to disclose.

Name

EID/ Aadhaar No.:

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Verification Type : Document Based ( ) Introducer Based ( ) Head of Family ( )

Select only one of the above. Select Introducer or Head of Family only if you do not possess any documentary proof of

identity and/or address. Introducer and Head of Family details are not required in case of Document based Verification.

For Document Based

(Write Names of the documents produced. Refer overleaf of this form for list of valid documents)

a. POI

b. POA

c. DOB

d. POR

(Mandatory in case of Verified Date of Birth)

For HoF Based -

Details of : Father ( ) Mother ( ) Guardian ( ) Husband ( ) Wife ( )

For Introducer Based – Introducer’s

HoF’s EId/Aadhaar No.:

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Aadhaar No.

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dd |mm| yyyy|hh: mm: ss|

I hereby confirm the identity and address of

_as being true, correct and accurate.

Introducer/HoF’s Name:

Signature of Introducer/HOF

Disclosure under section 3(2) of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND

SERVICES) ACT, 2016

I confirm that I have been residing in India for at least 182 days in the preceding 12 months & information (including biometrics)

provided by me to the UIDAI is my own and is true, correct and accurate. I am aware that my information including biometrics

will be used for generation of Aadhaar and authentication. I understand that my identity information (except core biometric)

may be provided to an agency only with my consent during authentication or as per the provisions of the Aadhaar Act. I have a

right to access my identity information (except core biometrics) following the procedure laid down by UIDAI.

Verifier’s Stamp and Signature:

Applicant’s signature/Thumbprint

(Verifier must put his/her Name, if stamp is not available)

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To be filled by the Enrolment Agency only :

Date & time of Enrolment: