Aadhar Card Form – Fill Out and Use This PDF

Field 2

Resident may bring his/her National Population Register Survey slip (if available) and fill up the column.

NPR NUMBER

Field 3

Write full name without salutations/titles. Please bring the original* Proof of Identity (POI) document. (See list A below). Variation in Resident’s

Name in contrast to PoI is permissible as long as the change is minor spelling only, without altering the Name in PoI document. For Example: If

NAME

Resident’s PoI reads “Preeti”, then “Priti” can be recorded if Resident wants so.

Field 5

Fill in Date of Birth in DDMMYYYY format. If exact Date of Birth is not known, approximate age in Years may be filled in the space provided. Please

bring the original Proof of Date of Birth (DoB), if available.(See list D below). Declared checkbox may be selected if Resident does not have a valid

DOB / AGE

proof of Date of Birth document. Verified checkbox is selected where Resident has provided documents as proof of Date of birth.

Write complete address. Please bring the original Proof of Address (POA) document. (See list B below). Please note that the Aadhaar letter will be

Field 6

delivered at the given address only.

∙ To include Parent / Guardian / Spouse name as part of the address, select the appropriate box and enter the name of the person.

ADDRESS

∙ Minor Corrections / Enhancements are permissible to make the address complete without altering the base address as mentioned in the POA

document.

∙ In case of children below 5 years, it is mandatory to provide father/mother/guardian details with their Aadhaar or EID number.

Field 7

∙ If the resident is not holding a Proof of Identity & using the Head of the Family identity for enrolment, it is mandatory to provide Head of the

RELATIONSHIP

family’s details with his/her Aadhaar or EID number. Please refer illustration below for filling EID. Please bring the original Proof of Relationship

(POR) document. (See list C below).

∙ For other cases, it is optional for the resident to fill up the relationship details.

Field 8

Resident may specifically express willingness / unwillingness by selecting the relevant box.

CONSENT

Field 9

Resident may choose to open a new Aadhaar enabled bank / POSB account or can link existing bank account to Aadhaar number. Relevant details

BANK ACCOUNT

as requested may be provided. This is an optional field.

Field 10

Write the name of Documents for PoI and PoA. In case proof of Date of Birth is available, then write the name of Date of Birth document. If the

resident is not holding a Proof of Identity & using the Head of Family based enrolment, then write the name of Proof of Relationship document. For

DOCUMENTS

Valid list of documents, please refer list of Documents below.

Field 11

Resident who does not have POI and POA may get enrolled through an Introducer/ Head of Family. Pl contact nearest enrolment centre or your

INTRODUCER/HoF

Registrar, for further details.

List A. POI documents

List B. POA documents