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jftLVªh laö Mhö ,yö&33004@99 REGD. NO. D. L.-33004/99
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EXTRAORDINARY
Hkkx III—[k.M 4
PART III—Section 4
izkf/dkj ls izdkf'kr
PUBLISHED BY AUTHORITY
la- 19] ubZ fnYyh] 'kqØokj] tuojh 12] 2018@ikS"k 22] 1939
No. 19] NEW DELHI, FRIDAY, JANUARY 12, 2018/PAUSHA 22, 1939
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ck;kseSfVªd ds flok, eq>s viuh igpku dh lwpuk rd igqapus dk vf/kdkj Hkkjrh; fof”k’V igpku izkf/kdj.k }kjk cukbZ xbZ
izfØ;k dk ikyu djds gksxkA
vkosnd ds gLrk{kj@vaxwBs dk fu”kku
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¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 3
vuqyXud 1
Ukke vkSj irs lfgr laxr nLrkostksa dh lwph
1 ikliksVZ
2 cSad fooj.kh@iklcqd
3 Mkd?kj [kkrk fooj.kh@iklcqd
4 jk'ku dkMZ
5 oksVj vkbZMh
6 Mªkbfoax ykblsal
7 ljdkjh QksVks vkbZMh dkMZ@ih,l;w }kjk tkjh lsok laca/kh QksVks vkbZMh dkMZ
8 fctyh dk fcy rhu ekg ls vf/kd iqjkuk u gks
9 ikuh dk fcy rhu ekg ls vf/kd iqjkuk u gks
10 VsyhQksu ySaMykbu fcy rhu ekg ls vf/kd iqjkuk u gks
11 laifÙk dj jlhn rhu ekg ls vf/kd iqjkuh u gks
12 ØsfMV dkMZ fooj.kh rhu ekg ls vf/kd iqjkuh u gks
13 chek ikWfylh
14 cSad }kjk ysVjgsM ij gLrk{kj gksa ftl ij QksVks yxk gks
15 iathd`r daiuh }kjk ysVjgsM ij gLrk{kj gksa ftl ij QksVks yxk gks
16 ekU;rk çkIr f'k{k.k laLFkku }kjk i='kh"kZ ij tkjh fd;k x;k QksVks ;qDr gLrk{kfjr i= ;k ekU;rk çkIr f'k{k.k
laLFkku }kjk tkjh irk;qDr QksVks igpku i=
17 eujsxk tkWc dkMZ
18 gfFk;kj dk ykblsal
19 isa”kuj dkMZ
20 Lora=rk lsukuh dkMZ
21 fdlku iklcqd
22 lhth,p,l@bZlh,p,l dkMZ
23 lkaln ;k fo/kk;d ;k ,e,ylh ;k jktif=r vf/kdkjh ;k rglhynkj }kjk i='kh"kZ ij tkjh fd;k x;k QksVks
;qDr irs dk çek.k i=
24 xzkeh.k {ks=ksa ds ekeyksa esa xzke iapk;r izeq[k vFkok mlds led{k izkf/kdkjh }kjk tkjh irs dk izek.ki=
25 vk;dj fu/kkZj.k vkns“k
26 okgu iathdj.k izek.ki=
27 iath—r foØ;@iVVk@HkkMk djkj
28 Mkd foHkkx }kjk tkjh irk dkMZ ftlesa QksVks yxk gks
29 jkT; ljdkj }kjk tkjh tkfr vFkok ewy fuokl izek.ki= ftl ij QksVks yxk gks
30 lacaf/kr jkT;@la?k jkT; {ks= ljdkjksa@iz”kkluksa }kjk tkjh viaxrk vkbZMh dkMZ@fnO;kax fpfdRlk izek.ki=
31 xSl dusD”ku dk fcy tks rhu ekg ls vf/kd iqjkuk u gks
32 ifr@iRuh dk ikliksVZ
33 ukckfyx gksus dh n”kk esa ekrk&firk dk ikliksVZ
34 dsanz@jkT; ljdkj }kjk tkjh fd;k x;k vkokl dk vkcaVu i=] tks 3 lky ls vf/kd iqjkuk u gks
35 ljdkj }kjk tkjh fd;k x;k irk ;qDr fookg izek.k i=
Mkd }kjk v|ru vuqjks/k Hkstus ds fy, irk
Hkkjrh; fof”k’V igpku izkf/kdj.k]
iksLV ckWDl uacj 99] catkjk fgYl] gSnjkckn&500034] Hkkjr
4- vk/kkj ¼ukekadu vkSj vn~;ru½ fofu;e] 2016] le;&
le;≤ ij ;Fkkla”kksf/kr ds fofu;e 21 esa la”kks/ku -&
vk/kkj ¼ukekadu vkSj vn~;ru½ fofu;e] 2016] le;≤ ij ;Fkkla”kksf/kr ds fofu;e 21 esa Þvuqca/kß
“kCn ds ckn] Þ;k fu;qfDr@fu;kstu dh “krsZaß vUrfuZfo’V dh tk,axhA
MkW- vt; Hkw’k.k ikaMs] eq[; dk;Zdkjh vf/kdkjh
[िवापन- III/4/असा./388/17]
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4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4]
Field Fill Details in English in this column Fill Details in Local Language in this
(Use Capital Letters) column(Use same local language as in
your Aadhaar letter)
Resident’s Name
Address C/O Details ☑
Select ( ) C/o ( ) D/o ( ) S/o ( ) W/o ( ) H/o ( )
Guardian/ Parent/Spouse NAME
Name
House / Bldg./Apt.
Street/Road/Lane
Landmark
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¹Hkkx IIIµ[k.M 4º Hkkjr dk jkti=k % vlk/kj.k 5
Area/locality/sector
Village/Town /City
District
Post Office
State
PIN CODE | | | | | | |
Mobile No. (mandatory) | | | | | | | | | | |
Document Details (Write Names of the documents attached. Refer Annexure I for Valid documents)
a. POA
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.
Applicant’s signature/Thumbprint
Annexure I
Supported PoA Documents Containing Name and Address
1. Passport
2. Bank Statement/ Passbook
3. Post Office Account Statement/Passbook
4. Ration Card
5. Voter ID
6. Driving License
7. Government Photo ID cards/ service photo identity card issued by PSU
8. Electricity Bill (not older than 3 months)
9. Water bill (not older than 3 months)
10. Telephone Landline Bill (not older than 3 months)
11. Property Tax Receipt (not older than 3 months)
12. Credit Card Statement (not older than 3 months)
13. Insurance Policy
14. Signed Letter having Photo from Bank on letterhead
15. Signed Letter having Photo issued by registered Company on letterhead
16. Signed Letter having Photo issued by Recognized Educational Institution on letterhead or Photo ID having
address issued by Recognized Educational Institution
17. NREGS Job Card
18. Arms License
19. Pensioner Card
20. Freedom Fighter Card
21. Kissan Passbook
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6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC. 4]
UIDAI,
Post Box No. 99, Banjara Hills, Hyderabad-500034, India
4. Amendment to Regulation 21 of the Aadhaar (Enrolment and Update) Regulations, 2016, as amended
from time to time.-
In Regulation 21 in Aadhaar (Enrolment and Update) Regulations, 2016, as amended from time to
time, after the word “agreements”, the words “or terms of appointment/engagement” shall be inserted.
Dr. AJAY BHUSHAN PANDEY, Chief Executive Officer
[ADVT.-III/4/Exty./388/17]
Digitally signed by
RAKESH RAKESH SUKUL
Date: 2018.01.12 22:18:00
SUKUL +05'30'
Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064
and Published by the Controller of Publications, Delhi-110054.