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AADHAAR DATA UPDATE FORM - National Securities …

AADHAAR data UPDATE form Select ( ) only those fields which you would like to UPDATE . Fields marked * are mandatory. Please follow the instructions overleaf while filling up the form . Use capital letters only. * UPDATE Type Demographic UPDATE ( Name/Gender/Age/Date of Birth/Address/Email/Mobile/Relationship Details/Consent) Biometric UPDATE (Photo/Fingerprint/Iris) * AADHAAR No. (Please provide accurate 12-digit AADHAAR number here): | | | | | | | | | | | | | * Full Name: NAME Gender: Male ( ) Female ( ) Transgender ( ) Age: Yrs OR Date of Birth:| DD | MM | YYYY | Declared Verified Address (provide complete address even if the change is in any one of the address fields) C/o ( ) D/o ( ) S/o ( ) W/o ( ) H/o ( ) House No/ Street/Road/Lane Landmark Area/locality/sector Village/Town/City Post Office District Sub-District State E Mail Mobile No | | | | | | | | | | | PIN CODE | | | | | | | *

22. CGHS / ECHS Card 23. Certificate of Address having photo issued by MP or MLA or Gazetted Officer or Tehsildar on letterhead 24. Certificate of Address issued by Village Panchayat head or its equivalent authority (for rural areas) 25. Income Tax Assessment Order 26. Vehicle Registration Certificate 27. Registered Sale / Lease / Rent Agreement

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