KACHEHRI UP

अभिभावक द्वारा आधार कार्ड संशोधन हेतु अं

Format No: KA/UP278

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AFFIDAVIT

(For Aadhaar Card Correction of Minor Child through Parent/Guardian)

I, ....................................., aged about ......... years, S/o,D/o,W/o ........................................, resident of Village/Mohalla-....................................................................................., Tehsil-..........................., District-..........................., State-…………………….. Pin-………….. do hereby solemnly affirm and declare as under:-

1-That the deponent’s son/daughter........................................................ whose Aadhaar Card No. ........................................ has been issued, in which some particulars of the child have been incorrectly mentioned, which are as follows:-

S. No.

Incorrect Details

Correct Details

Name of Supporting Document

1-

2-That the deponent wishes to correct/update the above-mentioned incorrect details of his/her child on the basis of valid supporting documents.

3-That if at any time the documents/details submitted in support of this affidavit are found to be false, forged, fabricated or incorrect, or if the deponent is found not legally entitled to submit such documents, then the Aadhaar number of the deponent may be deactivated under Regulation 28 of the Aadhaar (Enrolment and Update) Regulations, 2016. Further, the deponent shall be liable for legal action under the applicable laws.

4-That all the information and documents submitted by the deponent are true and correct to the best of his/her knowledge and belief, and nothing material has been concealed therein.

5-That the deponent has not suppressed any material fact.

Signature/Thumb Impression of Deponent

VERIFICATION

I, the above-named deponent, do hereby verify that the contents of 1 to 5 of this affidavit are true and correct to my personal knowledge and belief, and nothing material has been concealed.

Verified at…………………………..

on this date………………………

Signature/Thumb Impression of Deponent

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