Email *
Applicant Name *
Name Proof * ---Select--- Passport PAN Card/ e-PAN Ration / PDS photo Card Voter ID/ e-Voter ID Driving License Arms License Photo Bank ATM Card Photo Credit Card Service photo identity card issued by Central Govt./ State Govt./ UT Govt./ PSU/ Banks Pensioner Photo Card/Freedom Fighter Photo Card Kissan Photo Passbook CGHS/ ECHS/ ESIC/ Medi-Claim Card with Photo issued by State/ Central Govts./ PSUs/ Rashtriya Swasthya Bima Yojana (RSBY) Card Disability ID Card/ handicapped medical certificate issued by the respective Central/ State/ UT Governments Photo ID Card/ Certificate with photo issued by Central/State Govt. like Bhamashah, Domicile Certificate,Resident Certificate, Jan-Aadhaar, MGNREGA/ NREGS Job card etc. Marriage certificate with photograph issued by State/Central Govt. ST/ SC/ OBC certificate with photograph ST/ SC/ OBC certificate with photograph Valid School Identity card/ Photo ID issued by Recognized Educational Institution (during study course time i.e. while on the rolls only) School Leaving Certificate (SLC)/ School Transfer Certificate (TC)/ Extract of School Records issued by Head of School/ SSLC book/ SSC certificate/Mark Sheet issued by board/ University containing name and photograph Bank Pass Book having name and Photograph Cross Stamped by bank official Transgender ID card/ Certificate issued under the Transgender Persons (Protection of Right) Act, 2019 Valid Long Term Visa (LTV) along with Foreign Passport (valid or expired) of origin country issued to minorities communities of Afghanistan, Bangladesh and Pakistan namely Hindus, Sikhs, Buddhists, Jain, Parsis and Christians Valid Visa along with Foreign Passport (valid only) issued in case of other Foreign Nationals who has stayed in India for 182 days or more in the 12 months Certificate of Identity issued on UIDAI standard certificate format for enrolment/ update by: i. MP/ MLA/ MLC/ Municipal Councillor. ii. Tehsildar/ Gazetted Officer Group ‘A’/Gazetted Officer Group ‘B’/ EPFO Officer iii. Superintendent/ Warden/ Matron/ Head of Institution of recognized shelter homes or orphanages iv. Recognized Educational Institution signed by Head of Institute v. Village Panchayat Head or Mukhiya or its equivalent authority (for rural areas),Village Panchayat Secretary or VRO or equivalent (for rural areas). For Full name/first name change requests:Resident to submit the Gazette notification of new name along with any supporting PoI document of old name with photograph (Even for 1 st instance of the Full name/ first name change) For Exception cases of Name Change:Divorce Decree For Exception cases of Name Change:Adoption certificate For Exception cases of Gender Change:Medical Certificate from allopathic doctors, in case resident changed gender surgically
Attach For POI (Proof of Identity) Documents Containing Name and Photo *
Gender * ---Select--- Male Female Other
Attach For DOB (Date of Birth) Documents Containing Name and DOB * ---Select--- Birth Certificate Passport PAN Card/e-PAN Service photo identity card issued by Central Govt./State Govt./UT Govt./PSU/Banks Photo ID card having Date of Birth, issued by Recognized Educational Institution Transgender ID card/ Certificate issued under the Transgender Persons (Protection of Right) Act, 2019 Marksheet issued by any recognized Government Board or University School Leaving Certificate (SLC)/ School Transfer Certificate (TC)/ Extract of School Records issued by Head of School/ SSLC book/ SSC certificate containing Name and Date of Birth Central/ State Pension Payment Order CGHS/ ECHS/ Medi-Claim Card issued by Centre/ State/UTs Govts./ PSUs having with Photo & Date of Birth Valid Long Term Visa (LTV) along with Foreign Passport (valid or expired) of origin country issued to minorities communities of Afghanistan, Bangladesh and Pakistan namely Hindus, Sikhs, Buddhists, Jain, Parsis and Christians Certificate of Identity having Name & DoB issued on UIDAI standard certificate format for enrolment/ update by: i. Gazetted Officer Group ‘A’/ EPFO officer ii. Recognized Educational Institution signed by Head of Institute Exception cases of DoB Change:Resident to submit self-declaration as per notified format
Attach DOB Proof Document (Orignal Coloured Scan Copy) *
House/Building No.
Street/Rood/Lane *
Landmark
Village/town/city *
Post Office *
Pin Code *
District *
States * ---Select--- Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Dadra and Nagar Haveli Daman abd Diu Delhi Gujrat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Meghalaya Odisha Pondicherry Punjab Rajasthan Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bangal
POA (Proof of Address) Documents Containing Name and Address * ---Select--- Passport/ Passport of Spouse/ Passport of Parents (in case of Minor) Bank Statement (with Bank stamp & signature of bank official)/ Passbook/ Post Office Account Statement/Passbook Ration Card Voter ID/ e-Voter ID Driving License Arms License Service photo identity card issued by PSU/ Banks/ State/Central Governments Pensioner Card/ Freedom Fighter Card Kissan Passbook CGHS/ ECHS/ ESIC/ Medi-Claim Card with Photo issued by State/ Central Govts./ PSUs Disability ID Card/ handicapped medical certificate issued by the respective State/ UT Governments/Administrations/ Central Govt. Photo ID Card/ Certificate having address issued by Central/State Govt. like Bhamashah, Domicile Certificate, Resident Certificate, Jan-Aadhaar,MGNREGA/ NREGS Job card etc. Valid School Identity card/Identity Card issued by recognized educational institutions (during study course time i.e. while on the rolls only) Transgender ID card/ Certificate issued under the Transgender Persons (Protection of Right) Act, 2019 School Leaving Certificate (SLC)/ School Transfer Certificate (TC)/ Extract of School Records issued by Head of School/ SSLC book/ SSC certificate containing name and Address Signed Letter having Photo issued by Recognized Educational Institution on letterhead or Photo ID having address issued by Recognized Educational Institution Electricity Bills (not older than 3 months) including prepaid receipts Water Bill (not older than 3 months) Telephone Landline Bill/ Phone (Postpaid Mobile) Bill/Broadband Bill (not older than 3 months) Insurance Policy (Life & Medical only) Property Tax Receipt (not older than 1 year) Registered Sale/ Rent Agreement/Registered Gift Deed in Registrar office/Registered or Non Registered Lease Agreement Gas Connection Bill (not older than 3 months) Allotment letter of accommodation issued by Central/State Govt. (not more than 3 years old) Marriage Certificate issued by the Government containing Name and address Valid Long Term Visa (LTV) along with Foreign Passport (valid or expired) of origin country issued to minorities communities of Afghanistan, Bangladesh and Pakistan namely Hindus, Sikhs, Buddhists, Jain, Parsis and Christians Valid Visa (if comprises of Indian address) along with Foreign Passport (valid only) issued in case of other Foreign Nationals who has stayed in India for 182 days or more in the 12 months Certificate of Address issued on UIDAI standard certificate format for enrolment/ update by:i. MP/ MLA/ MLC/ Municipal Councilor. ii. Tehsildar/ Gazetted Officer Group ‘A’/ Gazetted Officer Group ‘B’/EPFO Officer iii. Superintendent/ Warden/ Matron/ Head of Institution of recognized shelter homes or orphanages iv. Recognized Educational Institution signed by Head of Institute v. Village Panchayat Head or Mukhiya or its equivalent authority (for rural areas),Village Panchayat Secretary or VRO or equivalent (for rural areas)
Attach Address Proof Document (Orignal Coloured Scan Copy) *
Note:- *
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