AFFIDAVIT FOR CHANGE OF NAME
Dated: [Date]
Place:
I, , age years, son/daughter/wife of , residing at , do hereby solemnly affirm and declare on oath as follows:
I am currently known by the name as per my official documents and records.
I wish to henceforth be known and addressed by the name effective from .
The reason for this change of name is:
A Gazette Notification in respect of my name change has been published under reference .
I declare that I shall use the said new name in all my official and personal dealings and transactions.
The following documents are required to be updated with the new name:
I am aware that all the facts mentioned in this affidavit are true and correct. I am aware that if the facts stated in this affidavit are found to be false, action can be taken against me under Section 193 and 228 of the Indian Penal Code, 1860.
IN WITNESS WHEREOF, I have hereunto set my hand at the date and place mentioned above.
Sworn before me by the deponent on oath.
[Notary Public / Magistrate]