Certificate of Address having photo issued by MP or MLA or Gazetted Officer or Tehsildar on letterhead is one of the Supported Proof of Address (PoA) Documents Containing Name and Address by UIDAI.GOV So you can use this format for getting proof address.

1. CertifiCate of address
TO WHOMSOEVER IT MAY CONCERN
This is to certify that Shri/Smt. _________________________________________________
C/o S/o D/o W/o Shri. ________________________________ (D.O.B. _______________)
Residing at House/ Bldg./ Apt: __________________________________________________
Street/ Road/ Lane: _________________________ Landmark: ________________________
Area/ Locality/:____________________ Village/ Town/ City __________________________
P.O___________________________________ District: _____________________________
State: ________________________________ Pin Code _________________ is known to
me for the last _________Year/s.
This certificate is being given to the individual for
Enrolment in ________________________
Updating in Adhaar No: _____________________________
(Tick whichever is applicable)
Signature of the officer
(MP or MLA or Gazetted Officer or Tehsildar)
Seal
Date: Signature of applicant
Note: To be printed on Government Letter Head only.
Photo Graph
Attested by the
Officer