Format of Name Change Affidavits, Declarations and Deeds

I, {Applicant Old Name} S/o or D/o {Applicant’s Father’s Name} , aged around {Age of Applicant} years, resident of {Address of Applicant} , do hereby solemnly affirm and declare as under:-

1. That l am presently Citizen of India. (As Gazette of India is for Indian Citizen only)
2. That my name as per the record is {Applicant Old Name}
3. That I have changed my name to {Applicant New Name} on {Date of Change of Name}
4. I am getting a public notice published to this effect in the newspaper.
5. I state that {Applicant Old Name} and the {Applicant New Name} is the name of the same person and that is myself.
   
   I am executing this declaration to be submitted to the concerned authorities for the change of name.
   
   I hereby state that whatever is stated herein above is true to the best of my knowledge. Solemly affirmed at {Place of Affidavit} on this {Date of Affidavit}
   
   
   {Signature of Applicant}
   
   {Name of Applicant}
   
   VERIFICATION:
   Verified on this {Date of Affidavit} that the contents of the affidavit are true and correct, nothing material, nothing material has be concealed and no part of it is false.
   
   
   {Signature of Applicant}
   
   {Name of Applicant}
   

I Hitherto known as {Applicant Old Name} S/o / D/o/ Transgender of {Applicant Father Name} residing at {Applicant Address} have changed my name and shall hereafter be known as {Applicant New Name}

It is certified that i have complied with other Legal requirements in this connection.

{Signature of Applicant}

{Old Name of Applicant}

Witness No. 1

Signature: {Signature of Witness 1}

Full Name: {Full Name of Witness 1}

Address: {Address of Witness 1}

Mobile No.: {Mobile Number of Witness 1}

Witness No. 2

Signature: {Signature of Witness 2}

Full Name: {Full Name of Witness 2}

Address: {Address of Witness 2}

Mobile No.: {Mobile Number of Witness 2}

‌I {Applicant Old Name} S/o / D/o / Transgender of {Applicant Father Name} R/o {Applicant Address}, declares that

1. The matter in CD and hardcopy are same and i am responsible for any mismatch.
2. I am responsible for the quality of CD.
3. That the above statements are true and correct.

{Signature of Applicant}

{Old Name of Applicant}

I Hitherto known as {Applicant Old Name} S/o / D/o/ Transgender of {Applicant Father Name residing at {Applicant Address} have changed my name and shall hereafter be known as {Applicant New Name}

It is certified that i have complied with other Legal requirements in this connection.

{Old Name of Applicant}

To

               The Controller of Publications,

               Department on Publications,

               Civil lines, Delhi- 110054

Subject: Request for change of Name

Sir/ Ma'am,

I wish to change my name from {Applicant Old Name} to {Applicant New Name}. Kindly note the same in Gazette of India (Part-IV). i have completed all the formalities in all respect. All the required documents and CD are attached with this letter.

Thanking you,

Yours Faithfully

{Signature of the Applicant}

Name of the Applicant.                            : {Applicant New Name}

Address of the Applicant.                        : {Address of Applicant}

Mobile Number of Applicant                   : {Mobile number of Applicant}

E-mail ID of Applicant                              : {Email Id of Applicant}

Date of Submission to the department :  {Date of Submission}

I, {Applicant Old Name} S/o or D/o {Applicant’s Father’s Name} , aged around {Age of Applicant} years, resident of {Address of Applicant} , do hereby solemnly affirm and declare as under:-

1. That l am presently Citizen of India. (As Gazette of India is for Indian Citizen only)
2. That my child is {Age of Child} years old
3. That my child's name as per the record is {Applicant Child Old Name}
4. That I have changed my child's name to {Applicant Child New Name} on {Date of Change of Name}
5. I am getting a public notice published to this effect in the newspaper.
6. I state that {Applicant Child Old Name} and the {Applicant Child New Name} is the name of the same person and that is my child.
   
   I am executing this declaration to be submitted to the concerned authorities for the change of name.
   
   I hereby state that whatever is stated herein above is true to the best of my knowledge. Solemly affirmed at {Place of Affidavit} on this {Date of Affidavit}
   
   
   {Signature of Applicant}
   
   {Name of Applicant}
   
   VERIFICATION:
   Verified on this {Date of Affidavit} that the contents of the affidavit are true and correct, nothing material, nothing material has be concealed and no part of it is false.
   
   
   {Signature of Applicant}
   
   {Name of Applicant}
   

PUBLIC NOTICE

CHANGE OF NAME OF MINOR

I {Applicant Name} S/o / D/o {Applicant Father Name} resident of {Address of Applicant} employed as {Designation of Applicant} in {Department of Applicant} have changed the name of my minor son/daughter aged {Age of Minor} (in years)(not date of birth) and he/she shall hereafter be known {New name of Minor}.

It is certified that I have complied with other legal requirements in this connection.

{Signature of Applicant}

{Name of Applicant}

Witness No. 1

Signature: {Signature of Witness 1}

Full Name: {Full Name of Witness 1}

Address: {Address of Witness 1}

Mobile No.: {Mobile Number of Witness 1}

Witness No. 2

Signature: {Signature of Witness 2}

Full Name: {Full Name of Witness 2}

Address: {Address of Witness 2}

Mobile No.: {Mobile Number of Witness 2}

‌I {Applicant Name} S/o / D/o / Transgender of {Applicant Father Name} R/o {Applicant Address}, declares that

1. The matter in CD and hardcopy are same and i am responsible for any mismatch.
2. I am responsible for the quality of CD.
3. That the above statements are true and correct.

{Signature of Applicant}

{Name of Applicant}

I {Applicant Name} S/o / D/o/ Transgender of {Applicant Father Name} residing at {Applicant Address} have changed my minor name and shall hereafter be known as {Applicant Child New Name}

It is certified that i have complied with other Legal requirements in this connection.

{Name of Applicant}

To

              The Controller of Publications,

              Department on Publications,

              Civil lines, Delhi- 110054

Subject: Request for change of Name of my Minor

Sir/ Ma'am,

I wish to change my name of my minor Son/Daughter from {Applicant Child Old Name} to {Applicant Child New Name}. Kindly note the same in Gazette of India (Part-IV). i have completed all the formalities in all respect. All the required documents and CD are attached with this letter.

Thanking you,

Yours Faithfully

{Signature of the Applicant}

Name of the Applicant.                            : {Applicant New Name}

Address of the Applicant.                        : {Address of Applicant}

Mobile Number of Applicant                   : {Mobile number of Applicant}

E-mail ID of Applicant                              : {Email Id of Applicant}

Date of Submission to the department :  {Date of Submission}

I, {Applicant Old Name} S/o or D/o {Applicant’s Father’s Name} , aged around {Age of Applicant} years, resident of {Address of Applicant} , do hereby solemnly affirm and declare as under:-

1. That l am presently Citizen of India. (As Gazette of India is for Indian Citizen only)
2. That my child is {Age of Child} years old
3. That my child's name as per the record is {Applicant Child Old Name}
4. That I have changed my child's name to {Applicant Child New Name} on {Date of Change of Name}
5. I am getting a public notice published to this effect in the newspaper.
6. I state that {Applicant Child Old Name} and the {Applicant Child New Name} is the name of the same person and that is my child.
   
   I am executing this declaration to be submitted to the concerned authorities for the change of name.
   
   I hereby state that whatever is stated herein above is true to the best of my knowledge. Solemly affirmed at {Place of Affidavit} on this {Date of Affidavit}
   
   
   {Signature of Applicant}
   
   {Name of Applicant}
   
   VERIFICATION:
   Verified on this {Date of Affidavit} that the contents of the affidavit are true and correct, nothing material, nothing material has be concealed and no part of it is false.
   
   
   {Signature of Applicant}
   
   {Name of Applicant}
   

Public Notice

CHANGE OF NAME OF MINOR AFTER DIVORCE

It is for general information that I {Applicant Name} D/o {Applicant Father Name} Ex. Wife Of {Applicant Husband Name} resident of {Applicant Address} Declare that I got divorce from my husband vide Court Decree No. {Court Decree No} Dated {Court Decree Date} . Further, I have changed the name of my minor son/daughter aged {Age of Minor} (in years) (not date of birth) and he/she shall hereafter be known {New name of Minor}.

It is certified that I have complied with other legal requirements in this connection.

{Signature of Applicant}

{Name of Applicant}

Witness No. 1

Signature: {Signature of Witness 1}

Full Name: {Full Name of Witness 1}

Address: {Address of Witness 1}

Mobile No.: {Mobile Number of Witness 1}

Witness No. 2

Signature: {Signature of Witness 2}

Full Name: {Full Name of Witness 2}

Address: {Address of Witness 2}

Mobile No.: {Mobile Number of Witness 2}

‌I {Applicant Name} S/o / D/o / Transgender of {Applicant Father Name} R/o {Applicant Address}, declares that

1. The matter in CD and hardcopy are same and i am responsible for any mismatch.
2. I am responsible for the quality of CD.
3. That the above statements are true and correct.

{Signature of Applicant}

{Name of Applicant}

CHANGE OF NAME OF MINOR AFTER DIVORCE

It is for general information that I {Applicant Name} D/o {Applicant Father Name} Ex. Wife Of {Applicant Husband Name} resident of {Applicant Address} Declare that I got divorce from my husband vide Court Decree No. {Court Decree No} Dated {Court Decree Date} . Further, I have changed the name of my minor son/daughter aged {Age of Minor} (in years) (not date of birth) and he/she shall hereafter be known {New name of Minor}.

It is certified that I have complied with other legal requirements in this connection.

{Old Name of Applicant}

To

              The Controller of Publications,

              Department on Publications,

              Civil lines, Delhi- 110054

Subject: Request for change of Name of my Minor

Sir/ Ma'am,

I wish to change my name of my minor Son/Daughter from {Applicant Child Old Name} to {Applicant Child New Name}. Kindly note the same in Gazette of India (Part-IV). i have completed all the formalities in all respect. All the required documents and CD are attached with this letter.

Thanking you,

Yours Faithfully

{Signature of the Applicant}

Name of the Applicant.                            : {Applicant New Name}

Address of the Applicant.                        : {Address of Applicant}

Mobile Number of Applicant                   : {Mobile number of Applicant}

E-mail ID of Applicant                              : {Email Id of Applicant}

Date of Submission to the department :  {Date of Submission}

AFFIDAVIT FOR CHANGE OF NAME AFTER MARRAIGE

I, {Applicant Old Name} Daughter of {Applicant Father Name} and wife of {Applicant Husband Name} aged {Age of Applicant} residing at {Address of Applicant} , do hereby solemnly affirm and declare as under:

1. That my Maiden Name is {Applicant Old Name}
2. That i got marrried to {Applicant Husband Name} on {Applicant Marraige Date} at {Applicant Marraige place} vide marraige certificate number {Applicant Marraige Certificate Number} dated {Date of issue of Marraige Certificate} , issued by {Certificate Issuing Authority}
3. After Marraige My Name is {Applicant New Name}
4. That in my Marraige Certificate both names of mine and name of my husband are stated.
5. That my AADHAR number is {Aadhar No of Applicant}.
6. Which is same before and after Marraige.

I stated that {Applicant Old Name} and {Applicant New Name} is the name of the one and the same person and that is myself.

I am executing this declaration to be submitted to the concerned authorities for the change of my name in membership database.

I hereby state that whatever is stated herein above are true to the best of my knowledge.

{Signature of Applicant}

{Old Name of Applicant}

VERIFICATION:

Verified on this {Date of Affidavit} that the contents of the affidavit are true and correct, nothing material, nothing material has be concealed and no part of it is false.

{Signature of Applicant}

{Old Name of Applicant}

I Hitherto known as {Applicant Old Name} S/o / D/o/ Transgender of {Applicant Father Name} residing at {Applicant Address} have changed my name and shall hereafter be known as {Applicant New Name}

It is certified that i have complied with other Legal requirements in this connection.

{Signature of Applicant}

{Old Name of Applicant}

Witness No. 1

Signature: {Signature of Witness 1}

Full Name: {Full Name of Witness 1}

Address: {Address of Witness 1}

Mobile No.: {Mobile Number of Witness 1}

Witness No. 2

Signature: {Signature of Witness 2}

Full Name: {Full Name of Witness 2}

Address: {Address of Witness 2}

Mobile No.: {Mobile Number of Witness 2}

‌I {Applicant Old Name} S/o / D/o / Transgender of {Applicant Father Name} R/o {Applicant Address}, declares that

1. The matter in CD and hardcopy are same and i am responsible for any mismatch.
2. I am responsible for the quality of CD.
3. That the above statements are true and correct.

{Signature of Applicant}

{Old Name of Applicant}

I Hitherto known as {Applicant Old Name} S/o / D/o/ Transgender of {Applicant Father Name residing at {Applicant Address} have changed my name and shall hereafter be known as {Applicant New Name}

It is certified that i have complied with other Legal requirements in this connection.

{Old Name of Applicant}

To

               The Controller of Publications,

               Department on Publications,

               Civil lines, Delhi- 110054

Subject: Request for change of Name

Sir/ Ma'am,

I wish to change my name from {Applicant Old Name} to {Applicant New Name}. Kindly note the same in Gazette of India (Part-IV). i have completed all the formalities in all respect. All the required documents and CD are attached with this letter.

Thanking you,

Yours Faithfully

{Signature of the Applicant}

Name of the Applicant.                            : {Applicant New Name}

Address of the Applicant.                        : {Address of Applicant}

Mobile Number of Applicant                   : {Mobile number of Applicant}

E-mail ID of Applicant                              : {Email Id of Applicant}

Date of Submission to the department   : {Date of Submission}

AFFIDAVIT FOR CHANGE OF NAME AFTER DIVORCE

I, {Applicant Old Name} Daughter of {Applicant Father Name} and Ex-W/o {Applicant Ex-Husband Name} aged {Age of Applicant} residing at {Address of Applicant} , do hereby solemnly affirm and declare as under:

1. That I am the citizen of India.
2. That my name has been recorded as {Applicant Old Name} after marraige in all other relevant documents
3. That now, I have changed my name permanently to {Applicant New Name} in place of my previous name {Applicant Old Name} in view of Divorce from my husband
4. That in future i will be known by new name i.e. {Applicant New Name} for all the purposes
5. That I have got divorce from my husband vide Court Decree No. {Court Decree No} and date of disposal on {Divorce case Disposed Date}
6. That I further declare that both the names mentioned herein above belongs to one and the same person i.e. myself.
7. That my statement is true and correct.

I am executing this declaration to be submitted to the concerned authorities for the change of my name.

{Signature of Applicant}

{Old Name of Applicant}

VERIFICATION:

Verified on this {Date of Affidavit} that the contents of the affidavit are true and correct, nothing material, nothing material has been concealed and no part of it is false.

{Signature of Applicant}

{Old Name of Applicant}

PUBLIC NOTICE

I Hitherto known as {Applicant Old Name} S/o / D/o/ Transgender of {Applicant Father Name} residing at {Applicant Address} have changed my name and shall hereafter be known as {Applicant New Name}

It is certified that i have complied with other Legal requirements in this connection.

{Signature of Applicant}

{Old Name of Applicant}

Witness No. 1

Signature: {Signature of Witness 1}

Full Name: {Full Name of Witness 1}

Address: {Address of Witness 1}

Mobile No.: {Mobile Number of Witness 1}

Witness No. 2

Signature: {Signature of Witness 2}

Full Name: {Full Name of Witness 2}

Address: {Address of Witness 2}

Mobile No.: {Mobile Number of Witness 2}

‌I {Applicant Old Name} S/o / D/o / Transgender of {Applicant Father Name} R/o {Applicant Address}, declares that

1. The matter in CD and hardcopy are same and i am responsible for any mismatch.
2. I am responsible for the quality of CD.
3. That the above statements are true and correct.

{Signature of Applicant}

{Old Name of Applicant}

I Hitherto known as {Applicant Old Name} S/o / D/o/ Transgender of {Applicant Father Name residing at {Applicant Address} have changed my name and shall hereafter be known as {Applicant New Name}

It is certified that i have complied with other Legal requirements in this connection.

{Old Name of Applicant}

To

               The Controller of Publications,

               Department on Publications,

               Civil lines, Delhi- 110054

Subject: Request for change of Name

Sir/ Ma'am,

I wish to change my name from {Applicant Old Name} to {Applicant New Name}. Kindly note the same in Gazette of India (Part-IV). i have completed all the formalities in all respect. All the required documents and CD are attached with this letter.

Thanking you,

Yours Faithfully

{Signature of the Applicant}

Name of the Applicant.                            : {Applicant New Name}

Address of the Applicant.                        : {Address of Applicant}

Mobile Number of Applicant                   : {Mobile number of Applicant}

E-mail ID of Applicant                              : {Email Id of Applicant}

Date of Submission to the department   : {Date of Submission}

AFFIDAVIT FOR NAME CHANGE DUE TO CHANGE OF GENDER

I {Applicant Old Name} s/o, d/o {Applicant Father’s Name} R/o {Applicant Address} do solemnly hereby declare and affirm as under:-

1. That l am presently Citizen of India. (As Gazette of India is for Indian Citizen only)
2.  l am residing at above said premises.
3. My old name is {Applicant Old Name}
4. My new name is {Applicant New Name}
5. That my Gender before operation is {Gender before operation} and Gender after operation is {Gender after operation}
6. That {Name of Doctor}, {Designation of Doctor} performed my surgery on {Date of Surgery}
7. I am {Religion of Applicant} by birth
8. Now I want to change my name from {Applicant Old Name} to {Applicant New Name}
9. I belong to {Category of Applicant} Category
10. The title, surname, etc. in my new name belongs to the same category i.e I am not changing my category
11. It is my true and correct statement.

The contents of the undertaking or Affidavit are correct to best of knowledge and belief and nothing is concealed. He/She shall be fully responsible for any misrepresentation and consequences if arise in future.

{Signature of Applicant}

{Old Name of Applicant}

VERIFICATION:

Verified on this {Date of Affidavit} that the contents of the affidavit are true and correct, nothing material, nothing material has been concealed and no part of it is false.

{Signature of Applicant}

{Old Name of Applicant}

PUBLIC NOTICE

FOR CHANGE OF NAME & GENDER

1. I, ‌{Applicant Old Name} S/o / D/o / Transgender of {Applicant Father Name} hereby undertake that I {Applicant Old Name} want to change my name to {Applicant New Name} and gender as {Gender After Operation}
2. I {Applicant Old Name} henceforth be known as {Applicant New Name} S/o / D/o Transgender of {Applicant Father Name}
3. The above statement made by me is true and correct to the best of my knowledge and belief. If any legal issue arises in this regard at any stage, i will be personally responsible for the same and, Department of publication will not be liable for any consequences arising therefrom.

{Signature of Applicant}

{Old Name of Applicant}

Witness No. 1

Signature: {Signature of Witness 1}

Full Name: {Full Name of Witness 1}

Address: {Address of Witness 1}

Mobile No.: {Mobile Number of Witness 1}

Witness No. 2

Signature: {Signature of Witness 2}

Full Name: {Full Name of Witness 2}

Address: {Address of Witness 2}

Mobile No.: {Mobile Number of Witness 2}

‌I {Applicant Old Name} S/o / D/o / Transgender of {Applicant Father Name} R/o {Applicant Address}, declares that

1. The matter in CD and hardcopy are same and i am responsible for any mismatch.
2. I am responsible for the quality of CD.
3. That the above statements are true and correct.

{Signature of Applicant}

{Old Name of Applicant}

1. I, ‌{Applicant Old Name} S/o / D/o / Transgender of {Applicant Father Name} hereby undertake that I {Applicant Old Name} want to change my name to {Applicant New Name} and gender as {Gender After Operation}
2. I {Applicant Old Name} henceforth be known as {Applicant New Name} S/o / D/o Transgender of {Applicant Father Name}
3. The above statement made by me is true and correct to the best of my knowledge and belief. If any legal issue arises in this regard at any stage, i will be personally responsible for the same and, Department of publication will not be liable for any consequences arising therefrom.

{Old Name of Applicant}

To

               The Controller of Publications,

               Department on Publications,

               Civil lines, Delhi- 110054

Subject: Request for change of Name

Sir/ Ma'am,

I wish to change my name from {Applicant Old Name} to {Applicant New Name}. Kindly note the same in Gazette of India (Part-IV). i have completed all the formalities in all respect. All the required documents and CD are attached with this letter.

Thanking you,

Yours Faithfully

{Signature of the Applicant}

Name of the Applicant.                            : {Applicant New Name}

Address of the Applicant.                        : {Address of Applicant}

Mobile Number of Applicant                   : {Mobile number of Applicant}

E-mail ID of Applicant                              : {Email Id of Applicant}

Date of Submission to the department   : {Date of Submission}

AFFIDAVIT FOR NAME CHANGE AFTER RELIGION CONVERSION

I, {Applicant Old Name} S/o or D/o {Applicant Father Name} , aged around {Age of Applicant} years, resident of {Address of Applicant} , do hereby solemnly affirm and declare as under:

1. That l am presently Citizen of India. (As Gazette of India is for Indian Citizen only)
2. That i have attained the age of Majority i.e. {Age of Applicant}
3. That i have changed my religion from {Religion Before Conversion} to {Religion after conversion} with my own choice and without any force/pressure from outside.
4. That I have changed my name to {Applicant New Name} on {Date of Change of Name}
5. I am getting a public notice published to this effect in the newspaper.
6. That in future i will be known as {Applicant New Name}

I am executing this declaration to be submitted to the concerned authorities for the change of name.

I hereby state that whatever is stated herein above is true to the best of my knowledge.

Solemly affirmed at {Place of Affidavit} on this {Date of Affidavit}

{Signature of Applicant}

{Old Name of Applicant}

VERIFICATION:

Verified on this {Date of Affidavit} that the contents of the affidavit are true and correct, nothing material, nothing material has been concealed and no part of it is false.

{Signature of Applicant}

{Old Name of Applicant}

I Hitherto known as {Applicant Old Name} S/o / D/o/ Transgender of {Applicant Father Name} residing at {Applicant Address} have changed my name and shall hereafter be known as {Applicant New Name}

It is certified that i have complied with other Legal requirements in this connection.

{Signature of Applicant}

{Old Name of Applicant}

Witness No. 1

Signature: {Signature of Witness 1}

Full Name: {Full Name of Witness 1}

Address: {Address of Witness 1}

Mobile No.: {Mobile Number of Witness 1}

Witness No. 2

Signature: {Signature of Witness 2}

Full Name: {Full Name of Witness 2}

Address: {Address of Witness 2}

Mobile No.: {Mobile Number of Witness 2}

‌I {Applicant Old Name} S/o / D/o / Transgender of {Applicant Father Name} R/o {Applicant Address}, declares that

1. The matter in CD and hardcopy are same and i am responsible for any mismatch.
2. I am responsible for the quality of CD.
3. That the above statements are true and correct.

{Signature of Applicant}

{Old Name of Applicant}

I Hitherto known as {Applicant Old Name} S/o / D/o/ Transgender of {Applicant Father Name residing at {Applicant Address} have changed my name and shall hereafter be known as {Applicant New Name}

It is certified that i have complied with other Legal requirements in this connection.

{Old Name of Applicant}

To

               The Controller of Publications,

               Department on Publications,

               Civil lines, Delhi- 110054

Subject: Request for change of Name

Sir/ Ma'am,

I wish to change my name from {Applicant Old Name} to {Applicant New Name}. Kindly note the same in Gazette of India (Part-IV). i have completed all the formalities in all respect. All the required documents and CD are attached with this letter.

Thanking you,

Yours Faithfully

{Signature of the Applicant}

Name of the Applicant.                            : {Applicant New Name}

Address of the Applicant.                        : {Address of Applicant}

Mobile Number of Applicant                   : {Mobile number of Applicant}

E-mail ID of Applicant                              : {Email Id of Applicant}

Date of Submission to the department   : {Date of Submission}

I, {Applicant Old Name} S/o or D/o {Applicant’s Father’s Name} , aged around {Age of Applicant} years, resident of {Address of Applicant} , do hereby solemnly affirm and declare as under:-

1. That l am presently Citizen of India. (As Gazette of India is for Indian Citizen only)
2. That i adopted my child of age {Age of Child} on {Date of Adoption}
3. That my adopted child's name as per the record is {Applicant Child Old Name}
4. That i want to change my adopted child's name from {Applicant Child Old Name} to {Applicant Child New Name} 
5. I am getting a public notice published to this effect in the newspaper.
6. I state that {Applicant Child Old Name} and the {Applicant Child New Name} is the name of the same person and that is my child.
   
   I am executing this declaration to be submitted to the concerned authorities for the change of name.
   
   I hereby state that whatever is stated herein above is true to the best of my knowledge. Solemly affirmed at {Place of Affidavit} on this {Date of Affidavit}
   
   
   {Signature of Applicant}
   
   {Name of Applicant}
   
   VERIFICATION:
   Verified on this {Date of Affidavit} that the contents of the affidavit are true and correct, nothing material, nothing material has be concealed and no part of it is false.
   
   
   {Signature of Applicant}
   
   {Name of Applicant}
   

PUBLIC NOTICE FOR NAME CHANGE AFTER ADOPTION

I, {Name of Natural Parent} S/o / D/o Shri {Father Name of Natural Parent} resident of {Address of Natural Parent} do hereby declare that my son / Daughter {Name of Adoptee} Aged {Age of Adoptee} years has been adopted by Shri {Name of Adopted Parent} S/o / D/o Shri {Father Name of Adopted Parent} resident of {Address of Adopted Parent} vide Sub Registrar {Sub Registrar} Registration No {Registration No of Adoption} Dated {Date of Adoption Deed}

{Signature of Natural Parent}

{Name of Natural Parent}

I, {Name of Adopted Parent} S/o / D/o Shri {Father Name of Adopted Parent} employed as {Designation of Adopted Parent} in the {Place of Employment of Adopted Parent} resident of {Address of Adopted Parent} do hereby solemnly affirm and declare that I have adopted {Name of Adoptee} as stated above with effect from {Date of Adoption}

{Signature of Adopted Parent}

{Name of Adopted Parent}

Witness No. 1

Signature: {Signature of Witness 1}

Full Name: {Full Name of Witness 1}

Address: {Address of Witness 1}

Mobile No.: {Mobile Number of Witness 1}

Witness No. 2

Signature: {Signature of Witness 2}

Full Name: {Full Name of Witness 2}

Address: {Address of Witness 2}

Mobile No.: {Mobile Number of Witness 2}

‌I {Applicant Old Name} S/o / D/o / Transgender of {Applicant Father Name} R/o {Applicant Address}, declares that

1. The matter in CD and hardcopy are same and i am responsible for any mismatch.
2. I am responsible for the quality of CD.
3. That the above statements are true and correct.

{Signature of Applicant}

{Old Name of Applicant}

I, {Name of Natural Parent} S/o / D/o Shri {Father Name of Natural Parent} resident of {Address of Natural Parent} do hereby declare that my son / Daughter {Name of Adoptee} Aged {Age of Adoptee} years has been adopted by Shri {Name of Adopted Parent} S/o / D/o Shri {Father Name of Adopted Parent} resident of {Address of Adopted Parent} vide Sub Registrar {Sub Registrar} Registration No {Registration No of Adoption} Dated {Date of Adoption Deed}

{Name of Natural Parent}

I, {Name of Adopted Parent} S/o / D/o Shri {Father Name of Adopted Parent} employed as {Designation of Adopted Parent} in the {Place of Employment of Adopted Parent} resident of {Address of Adopted Parent} do hereby solemnly affirm and declare that I have adopted {Name of Adoptee} as stated above with effect from {Date of Adoption}

{Name of Adopted Parent}

To

               The Controller of Publications,

               Department on Publications,

               Civil lines, Delhi- 110054

Subject: Request for change of Name

Sir/ Ma'am,

I wish to change my adopted child name from {Adopted child Old Name} to {Adopted child New Name}. Kindly note the same in Gazette of India (Part-IV). i have completed all the formalities in all respect. All the required documents and CD are attached with this letter.

Thanking you,

Yours Faithfully

{Signature of the Applicant}

Name of the Applicant.                            : {Applicant New Name}

Address of the Applicant.                        : {Address of Applicant}

Mobile Number of Applicant                   : {Mobile number of Applicant}

E-mail ID of Applicant                              : {Email Id of Applicant}

Date of Submission to the department   : {Date of Submission}

I, {Applicant Old Name} S/o or D/o {Applicant’s Father’s Name} , aged around {Age of Applicant} years, resident of {Address of Applicant} , do hereby solemnly affirm and declare as under:-

1. That l am presently Citizen of India. (As Gazette of India is for Indian Citizen only)
2. That my name as per the record is {Applicant Old Name}
3. That I have changed my name to {Applicant New Name} on {Date of Change of Name}
4. I am getting a public notice published to this effect in the newspaper.
5. I state that {Applicant Old Name} and the {Applicant New Name} is the name of the same person and that is myself.
   
   I am executing this declaration to be submitted to the concerned authorities for the change of name.
   
   I hereby state that whatever is stated herein above is true to the best of my knowledge. Solemly affirmed at {Place of Affidavit} on this {Date of Affidavit}
   
   
   {Signature of Applicant}
   
   {Name of Applicant}
   
   VERIFICATION:
   Verified on this {Date of Affidavit} that the contents of the affidavit are true and correct, nothing material, nothing material has be concealed and no part of it is false.
   
   
   {Signature of Applicant}
   
   {Name of Applicant}
   

DEED FOR CENTRAL GOVT. EMPLOYEE F‌OR CHANGE OF NAME/SURNAME

By the deed the undersigned {Applicant New Name} lately called {Applicant Old Name} employed as {Designation of Applicant} at {Department of Applicant} do hereby:-

1. Wholly renounce, relinquish and abandon on the use of my former name of {Applicant Old Name} and in place thereof do assume from the date there of the name of {Applicant New Name} and so that I may hereafter be called, known and distinguished not by my former name of {Applicant Old Name} of but by my assumed name of {Applicant New Name}.
2. For the purpose of evidencing such my determination, declare that 1 shall at all times hereafter in all records, deeds and writings and in all proceedings, dealings and transactions private as well as public and upon all occasions whatsoever use and sign the name of {Applicant New Name} as my name in place of and in substitution for my former name of {Applicant Old Name}.
3. Expressly authorities and request all persons at all times hereafter to designate and address me by such assumed name of {Applicant New Name}
4. In witness whereof I have here unto subscribed my former and adopted name of {Applicant New Name} ............................. and ............................ affixed my seal this ........................ day of ...............................

{Applicant Old Name} 

{Signature of Applicant}

Witness No. 1 (GAZETTED)

Signature: {Signature of Witness 1}

Full Name: {Full Name of Witness 1}

Address: {Address of Witness 1}

Mobile No.: {Mobile Number of Witness 1}

Witness No. 2 (GAZETTED)

Signature: {Signature of Witness 2}

Full Name: {Full Name of Witness 2}

Address: {Address of Witness 2}

Mobile No.: {Mobile Number of Witness 2}

‌I {Applicant Old Name} S/o / D/o / Transgender of {Applicant Father Name} R/o {Applicant Address}, declares that

1. The matter in CD and hardcopy are same and i am responsible for any mismatch.
2. I am responsible for the quality of CD.
3. That the above statements are true and correct.

{Signature of Applicant}

{Old Name of Applicant}

DEED FOR CENTRAL GOVT. EMPLOYEE F‌OR CHANGE OF NAME/SURNAME

By the deed the undersigned {Applicant New Name} lately called {Applicant Old Name} employed as {Designation of Applicant} at {Department of Applicant} do hereby:-

1. Wholly renounce, relinquish and abandon on the use of my former name of {Applicant Old Name} and in place thereof do assume from the date there of the name of {Applicant New Name} and so that I may hereafter be called, known and distinguished not by my former name of {Applicant Old Name} of but by my assumed name of {Applicant New Name}.
2. For the purpose of evidencing such my determination, declare that 1 shall at all times hereafter in all records, deeds and writings and in all proceedings, dealings and transactions private as well as public and upon all occasions whatsoever use and sign the name of {Applicant New Name} as my name in place of and in substitution for my former name of {Applicant Old Name}.
3. Expressly authorities and request all persons at all times hereafter to designate and address me by such assumed name of {Applicant New Name}
4. In witness whereof I have here unto subscribed my former and adopted name of {Applicant New Name} ............................. and ............................ affixed my seal this ........................ day of ...............................

{Applicant Old Name} 

To

               The Controller of Publications,

               Department on Publications,

               Civil lines, Delhi- 110054

Subject: Request for change of Name

Sir/ Ma'am,

I wish to change my name from {Applicant Old Name} to {Applicant New Name}. Kindly note the same in Gazette of India (Part-IV). I have completed all the formalities in all respect. All the required documents and CD are attached with this letter.

Thanking you,

Yours Faithfully

{Signature of the Applicant}

Name of the Applicant.                            : {Applicant New Name}

Address of the Applicant.                        : {Address of Applicant}

Mobile Number of Applicant                   : {Mobile number of Applicant}

E-mail ID of Applicant                              : {Email Id of Applicant}

Date of Submission to the department   : {Date of Submission}