KACHEHRI UP

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Annexure IIIA- For children

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

iii) That I had earlier submitted an invalid document-………………………………………. bearing number……………………………………… dated……………………… or provided false information, while enrolment/update through EID number……………………....……….. as proof of date of birth of my child/ward.

 iv) That I understand and accepts 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.

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

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

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

viii) The I further undertake that my child/ward shall not be eligible for any further updation of 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 my child/ward was not entitled for the same, Aadhaar number of my child/ward 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 Parent /Guardian of Minor (Deponent)

NAME-……………………………………….

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