SMS

Aadhaar Enrolment and Mandatory Biometric Update is free. No charges are applicable for Form. In case of Correcfion/ Update, provide your Aadhaar Number
(UID), Full Name and only that field which needs Correcfion/ Update.

Resident

Non-Resident Indian (NRI*)

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

1

Pre Enrolment ID (If applicable):

2

In case of Update provide Aadhaar Number (UID):

2.1

Biometric Update (Photo + Fingerprint + Iris)

Mobile

Date of Birth

Address

Name

Gender

Email

3

Full Name:

4

Gender:

Male

Female

Transgender

5

Age: Yrs OR Date of Birth:

Declared

Verified

6

Address: C/o

House No./ Bldg./ Apt:

Street/ Road/ Lane:

Landmark:

Area/ Locality/ Sector:

Village/ Town/ City:

Post Office:

District:	Sub-District:	State:
E-Mail:	Mobile No:	PIN Code:

7

Details of:

Father

Mother

Guardian

Husband

Wife

For children below 5 years Father/Mother/Guardian's details are mandatory. Adults can opt not to specify this information.

Name:

EID/ Aadhaar No.:

Verificafion Type:

Document Based

Introducer Based

Head of Family (HoF) Based

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.

8

For Document Based (/vvr/te Names of the documents produced. Refer overleaf of this form for list of valid documents)

a. POI	b. POA
c. DOB (Mondotory in cose of Verified Done of Birth)	d. POR (Mandatory in case of HoF based Enrolment/ Update)

9

For Introducer Based - Introducer's
Aadhaar No.:

For HoF Based -Details of:

Father

Mother

Guardian

Husband

Wife

HoF's EID/ Aadhaar No.:

I hereby confirm the identity and address of as being true, correct and accurate.

Introducer/ HoF's Name:

Signature of lntroducer/ 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 /1 am Non Resident Indian (NRI) & 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 idenflty information (except core biometrics) following the procedure laid down by UIDAI.

Verifier's Stamp and Signature: (Verifier must put his/ her Name, if stamp is not available)	Applicant's signature/ Thumbprint

To be filled by the Enrolment Agency only:	Date & time of Enrolment:
Note: In case oj'minor, the signature will be done by parent/guardian. In case of incapacitated person, the signature will be done by Legal Guardian of Incapacitated Person * In case oj'NRI, only Indian Passport will be valid as POI.