GAZ
Address Change Gazetted

AGAZ202610081439203240

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Applicant Details
Name
SUSHILA PATIL
Aadhaar
791051759185
Mobile
9986385267
Shop / Operator Details
Submitted by
VINAYAK HANCHATE
User ID: 946 · 9611096987
Shop name and address (Kannada)
ರಾಶಿನಕರ ಜೆರಾಕ್ಸ ಎ ನ್ ಸಿ ಎಮ ಹುಬ್ಬಳ್ಳಿ
New Address Details
ಹೊಸ ವಿಳಾಸ ಕನ್ನಡದಲ್ಲಿ / New address in Kannada
ಮನೆ ಸಂಖ್ಯೆ 89, 2ನೇ ಅಡ್ಡರಸ್ತೆ, ಸಾಯಿ ದುರ್ಗಾ ಕಾಲೋನಿ, ಮಲ್ಲಾಪುರ ರಸ್ತೆ, ಯತ್ತಿನಗುಡ್ಡ, ಧಾರವಾಡ - 580001
House / Door No
H NO 89
Street / Road
2ND CROSS
Landmark
SAI DURGA COLONY
Post Office
YATTINGUDDA
Area / Locality
MALLAPUR ROAD
Village / Town / City
DHARWAD
District
DHARWAD
State
KARNATAKA
PIN Code
580001
Aadhaar Update Form Generated

Generate the official Aadhaar Address Update Form automatically from the applicant and new-address details above.

Applicant
SUSHILA PATIL
Aadhaar
XXXX XXXX 9185
PIN Code
580001
Applicant Photograph (Optional)
The saved photo is automatically placed in the photograph box when the form is generated.
Photo Saved
Applicant photograph
Uploaded File
WhatsApp Image 2026-10-08 at 11.36.25 AM.jpeg
Uploaded At
2026-10-08 14:39:20
View Photo
Photo replacement and removal are disabled after completion or rejection.
Generated File
AGAZ202610081439203240_AADHAAR_UPDATE_FORM.pdf
Generated At
2026-10-08 16:41:37
Photo Included
No
View Form Download Form
The generated form remains available for viewing and download.
Admin Note
Payment & Status
Amount₹200.00
PaymentPaid
StatusCompleted
Transaction ID
-
Paid At
2026-10-08 14:39:38
ACK Management
Saved ACK Number
S1360266053000
Download ACK PDF
ACK saved and request completed.
Status Controls
Completed requests are read-only.
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