जन्म तिथि अद्यतन हेतु ऑपरेटर की त्रुटि /

G-D

Annexure IIA- For children

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 am parent/legal guardian of the……………………………………………………… holding Aadhaar No………………………………………………………

iii) 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 date of birth of my child/ward in Aadhaar.

iv) That the date of birth of my child/ward was wrongly mentioned as……………………………….. in Aadhaar, while the date of birth mentioned in the submitted valid document was……………………………………………………………………………….. which is indeed the correct date of birth of my child/ward.

v) 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 date of birth of my child / ward 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 my child/ward was not entitled for the said document, Aadhaar number of my child/ward 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 Parent /Guardian of Minor (Deponent)

NAME-……………………………………….