Name Change Process after Religion Change

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 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 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}

‌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}

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}