AFFIDAVIT FOR NAME CHANGE
(GAZETTE NOTIFICATION)
AFFIDAVIT
I, {{old_full_name}}, {{s_o_d_o_w_o}} {{father_s_husband_s_name}}, aged about {{age}} years, residing at {{complete_residential_address}}, do hereby solemnly affirm and state as under:
1. That I am the deponent herein and am fully acquainted with the facts and circumstances of this affidavit.
2. That I am a major, a citizen of India, and legally competent to swear this affidavit.
3. That my name as recorded in my educational records, identity documents and other official records is "{{old_full_name}}".
4. That I have voluntarily changed my name from "{{old_full_name}}" to "{{new_full_name}}" for personal/legal reasons and shall hereafter be known and identified by the name "{{new_full_name}}" for all purposes.
5. That both the names, namely "{{old_full_name}}" and "{{new_full_name}}", refer to one and the same person, i.e., myself, and there is no change in my identity except the change of name.
6. That I shall at all times hereafter sign, execute documents, and be known by the name "{{new_full_name}}", and I request all Government Departments, statutory authorities, educational institutions, banks, employers and other concerned authorities to record my new name in their respective records.
7. That this change of name has not been made with any fraudulent intention, to evade any legal obligation, or to defeat the rights of any person, and no criminal proceedings are pending against me in relation to this change of name.
8. That this affidavit is executed for the purpose of publication of my name change in the Official Gazette and for updating my name in all Government, semi-Government and private records.
9. That the contents of this affidavit are true and correct to the best of my knowledge and belief and nothing material has been concealed therefrom.
Place:
Date: / /
DEPONENT
(New Signature)
I, the above-named deponent, do hereby verify that the contents of paragraphs 1 to 9 of this affidavit are true and correct to the best of my knowledge and belief and that nothing material has been concealed therefrom.
Verified at [Place] on this day of , 20.
DEPONENT
(New Signature)
Identified by:
Attested before me
(Signature & Seal of Notary Public / Executive Magistrate)