AADHAAR NAME / DATE OF BIRTH CORRECTION DECLARATION
Executed at __________ on __________.
I, __________, __________, resident of __________, holding Aadhaar number __________, ordinarily resident within __________ (the "Deponent" or "I"), do hereby solemnly declare as follows:
- THE ERROR
1.1 __________ is required in my Aadhaar record.
1.4 This error arose as follows: __________
- SUPPORTING DOCUMENT
2.1 In support of the correct particulars declared above, I rely on and am submitting the following document, of the kind the Unique Identification Authority of India accepts for this purpose: __________
- HOW THIS DECLARATION IS BEING FILED
3.1 I am submitting this declaration, together with the supporting document referred to above, through __________.
- DECLARATION
4.1 Every statement made above is true to my own knowledge and belief. I have not sought this correction to assume a false identity or to defeat any other law, and I have not concealed any material fact.
4.2 I am aware that the Unique Identification Authority of India may verify this declaration and the supporting document against its own records before accepting the correction, may ask for an additional or a different document, and that furnishing false information for inclusion in the Aadhaar database is an offence under the Aadhaar (Targeted Delivery of Financial and Other Subsidies, Benefits and Services) Act, 2016.
VERIFICATION
Verified at __________ on __________ that the contents of paragraphs 1 to 4 above are true and correct to my own knowledge, and that nothing material has been concealed.
DEPONENT
Signature: ______________________________
__________
ATTESTATION (where the update centre requires it)
Solemnly declared before me on __________ at __________, the Deponent having been identified to my satisfaction.
Notary Public / Oath Commissioner
Registration No. and seal: ____________________