Name change process due to Gender Change

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}

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}

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}

‌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}