आधार को पुनः सक्रिय करने हेतु स्वयं शपथ-

G-A

Annexure III-For adults

Affidavit for reactivation of Aadhaar

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 resident of the above said address.

ii) That I had earlier submitted an invalid document……………………………………………..  bearing number…………………………………. Dated……………………………………… and provided false, information, while enrolment/update through EID number……………………………………………….. as proof of date of birth.

iii) That I understand and accept that submission of such invalid document and false information is a violation of law and legal action may be taken against me for the same under Aadhaar Act and/or any other applicable laws.

iv) That I sincerely regret this act and tenders an unconditional apology and ensures that such mistake shall not be repeated.

v) That I humbly seek pardon and request UIDAI to kindly reactivate my Aadhaar number……………………………………………………….. to enable its continued usage.

vi) That I undertake to submit only genuine, correct and verifiable proof of date of birth document…………………………………………………………… in support of my request to reactivate my Aadhaar.

vii) The I further undertake that I shall not be eligible for any further updation of my date of birth in Aadhaar.

2. I undertake that if the 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 again be deactivated as per Regulation 28 of the Aadhaar (Enrolment and Update) Regulations, 2016 and I shall be liable to be prosecuted under provisions of the applicable laws.

3. 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-……………………………………….