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Affidavit Form

This document is a specimen affidavit for changing one's name. [1] It allows an individual to change their recorded name from their original name to a chosen new name. [2] By signing the affidavit, the individual agrees to henceforth be known by their new name for all purposes. [3] It requires the individual to use and sign their new name in place of their former name in all records, documents, and proceedings.

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320 views

Affidavit Form

This document is a specimen affidavit for changing one's name. [1] It allows an individual to change their recorded name from their original name to a chosen new name. [2] By signing the affidavit, the individual agrees to henceforth be known by their new name for all purposes. [3] It requires the individual to use and sign their new name in place of their former name in all records, documents, and proceedings.

Uploaded by

aw804
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SPECIMEN AFFIDAVIT FOR CHANGE IN NAME

(On non-judicial stamp paper of minimum value)

I Mr. ……………………….. S/o ………………………………… aged about ____________ yrs, resided


at………………………………. Do hereby solemnly affirm and sate a follows:

1. That my recorded name in school and college is ______________(YOURNAME), but I myself


popularly known as _________________(New name).

2. That by virtue of this affidavit, I changed my name from YOURNAME (old name) to
CHOSENNAME (new name) and henceforth I shall be known as the CHOSENNAME (new
name) for all purposes.

3. That for the purpose of evidencing such my determination declare that I shall at all times
hereafter in all records, deeds and writings and in all proceedings, dealings and
transactions, private as well as upon all occasions whatsoever, use and sign the name of
………………… as my name/surname in place and in substitution of my former
name/surname.

4. That the facts stated above are true to the best of my knowledge and belief.

5. In witness whereof I have hereunto subscribed my former and adopted name/surname of


………….. snd ……… affix my signature and seal, if any, this ………………….. day of ………

Signed sealed and delivered by the above name

Date…………….

Former name……………

In the presence of:

Name……………….. Name ………………….

Address……………. Address ………………..

(This affidavit may be signed and attested in presence of a Judicial Magistrate or Executive
Magistrate/Notary Public or Consular Officer in an Indian Mission abroad)

Note: In case of change of name, applicant should insert advertisements in two reputed
newspapers (one local newspaper of the area in which he/she is residing and 2nd in
newspaper of the area of permanent address) and submit original newspapers at the time of
applying to Institute.

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