जन्म तिथि अद्यतन हेतु ऑपरेटर की त्रुटि /

G-C

Annexure II- For adults

Affidavit

Self-Declaration requesting DoB update for correcting

operator error/typographical mistake

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

i) That I am the resident of the above said address.

ii) That I had earlier submitted a valid document-…………………………………………….. bearing number…………………………….……….. dated…………………… while enrolment / update through EID number…………………………………………….. as proof of date of birth for updating my date of birth in Aadhaar.

iii) That the date of birth was incorrectly mentioned as…………………………………… in Aadhaar, while the date of birth mentioned in the submitted valid document was……………………………………… which is indeed my correct date of birth.

iv) That I do not have possession of earlier submitted proof of date of birth document/the document then submitted is no longer a valid proof of date of birth. (choose applicable)

2-I request UIDAI to update my date of birth based on previously submitted and then valid proof of date of birth document.

3-I undertake that if the earlier document submitted as proof of date of birth is found to be fraudulent/false/forged/non-genuine or I was not entitled for the said document, my Aadhaar number may be deactivated as per Regulation 28 of the Aadhaar (Enrolment and Update) Regulations, 2016.

4-I hereby declare that all the information mentioned above is true to the best of my knowledge. In case of any discrepancies if arises, the undersigned will be held responsible.

DATE-

PLACE-

Name & Signature of Resident (Deponent)

NAME-……………………………………….