Aadhaar Biometric Consent & Undertaking Form

UIDAI compliant AePS, e-KYC & CSP legal consent sheet generator

Purpose of Biometric Consent

Customer Information

Customer Full Name

Father / Spouse Name

Masked Aadhaar

Mobile Number

Withdrawal Amount (₹)

Txn RRN / Ref

Address

Center Name

Operator ID

Biometric Device

आधार बायोमेट्रिक सत्यापन व सहमति पत्र

Ref: RFI-KYC-000000 • Date:

Customer:Rajesh Kumar Sharma

Father/Spouse:Suresh Kumar Sharma

Masked Aadhaar:XXXX-XXXX-4589

Purpose:AePS Banking & Cash Withdrawal / Deposit

Amount & RRN:₹ 2,500 /- (RRN-2026-9845123)

CSP / Center:Result For India CSC & Banking Point

Statutory Consent Declaration / सहमति

1. I voluntarily give my biometric authentication for this specified transaction with UIDAI.

2. I have verified the withdrawal amount and received full cash in hand without discrepancy.

3. मैंने स्वेच्छा से फिंगरप्रिंट सत्यापन कराया है और पूरी राशि प्राप्त कर ली है।

Customer Thumb / Signग्राहक हस्ताक्षर

Operator Seal & Signऑपरेटर सील

UIDAI Compliant