Aadhaar application form free download kerala malayalam pdf version

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AADHAAR Application Form Free Download Kerala Malayalam version

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Aadhaar application form free download kerala malayalam pdf version

  1. 1. Date:………………. AADHAAR APPLICANTION FORM Pre-Enrolment / /Form No.......................A.ആധാര പദതികായി ( UID) േേഖരികന വിവരങള1.Name (േപര്) :2.Gender : Male (പരഷന) Female (സീ) Transgender(മേേെതങിലം)3.Date of Birth : ............/......../...............4.Mother / Father / Husband / Wife/Guardians Name : (അമ/അചന/ഭരതാവ്/ഭാരയ/രകകരതാവ്)5.Residential Address (േമലവിലാസം) : House No and Name (വീടനമര / വീടേപര്) : Landmark : Village / City (വിേേജ് / സിേി) : District (ജിേ) : State (സംസാനം) :6.Phone No / Mobile No. (Optional) (േോാണ / െമാൈൈല നമര):7.Email (Optional) (ഇ-െമയില)8.Introducers Name & UID (പരിചയെെടതന ആളിെെ േപരം ആധാര നമറം):Information provided herein can be shared with agencies engaged in delivery of welfare services including financialservices. 囗 (put tick mark if the option is YES)തനിരികന വിവരങള േകമ പവരതനങളകായള (സാമതിക സഹായം ഉളെെെെ) ഏജനസികളക്ൈകമാറാവനതാണ്. 囗9.Bank Name and Branch (ൈാങിെെ േപര് ബാഞ്) (നിരൈനമിേ):.................................................................... A/c No. (അകൗണ് നമര)(നിരൈനമിേ):....................................10.15 വയസിന് താെെ പായമായ കടികളെെ അമ/അചന/രകകരതാവിെെ േപര് നിരൈനമാണ് കടിയെെ രകിതാവിെെ േപര് :.................................................... UID/EID (നമര):................................B േകരള സരകാരിനായി േേഖരികന വിവരങള (KYR Plus)1. Marital Status : Single/Married/Widow 2. Category: Gen/SC/ST/OBC/OEC3. Highest Qualification : Phd/PG/Graduate/Diploma/ IT/+2 /10 /Student/Attend 4. House Status: Own/Rented/Other School/Not attend school5. Handicapped (Yes / No) %............................................. 6. Occupation: Government Service/Private Service/Business/Agriculture/Self Employed/ Daily Wage Earner/ PSU/Other7. PEN (Yes/No) No :......................................... 8. Election ID Card No..........................................9. Driving License Type (Yes/No): Two Wheeler/Four Wheeler/Both 10. Driving Licence No..........................................11. PAN No (Yes/No.) : .................................................... 12. LPG Gas Connection (Yes/No)........................13. Ration Card No. : ..................................................... 14 Employment Ex.Reg.Card No(Yes/No)............15. NREGA Card No. (Yes/No) : ................................................... 16. Passport No. (Yes/No) No...............................17 Chiak Insurance No. (Yes/No) No:..................................................... Verifiers Name & signature Introducers Name & Signature Applicants Signature

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