Service Application Form

आधार कार्ड एंट्री एवं रसीद सेवा (Aadhaar Entry) (CSC & Citizen Digital Services)

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Your request and documents will be securely processed by this branch's authorized counter team.

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Full Name *

Mobile Number *

Email Address (Optional)

आधार कार्ड नo / एनरोलमेंट संख्या (EID) *

Enter 12-digit Aadhaar number or 14-digit Enrolment ID printed on your slip

आधार में नाम *

Resident full name matching Aadhaar card or enrolment slip

मोबाइल नंबर *

Aadhaar linked mobile number for OTP and status updates

विलेज / गाँव का नाम *

Village or town name as mentioned in Aadhaar address

डेट शीट (तारीख) *

Date mentioned on your enrolment / update receipt slip

आधार रसीद / पर्ची अपलोड करें *

Allowed: PDF, JPG, PNG (Max 5MB). Stored in private encrypted vault.

Clear photo or scanned PDF of the official Aadhaar slip with date-time (Max 5MB)

सेवा का उद्देश्य (Optional)

Choose the required Aadhaar service

Special Instructions or Notes (Optional)

Government / Base Fee: ₹50.00

Operator Facilitation Fee: ₹20.00

Total Payable Amount: ₹70.00

Pay Online via UPI / Rozipay

Instant dynamic UPI QR code generation, GPay, PhonePe, Paytm, or Card.

Pay at Branch Counter

Submit request online and pay cash/UPI directly at the selected shop counter.