Affidavit for name change

AFFIDAVIT TO BE SUBMITTED WITH THE APPLICATION FOR CHANGE OF NAME IN THE CERTIFICATE

The Registrar,
______________ University

Affidavit of Miss. ____________, D/o, of Mr. __________ now Mrs. __________, wife of Mr. __________, aged ____ years, resident of __________.

I, the above-named deponent, solemnly affirm and state as under:

1. That I am the applicant in the application being submitted for the change in name and as such I am fully conversant with the facts deposed to below.
2. That I pursued and passed a three-year Bachelor's Degree in ________, Course from __________ College, affiliated to your University under the name Miss. __________ from the year ____ to ____ under Roll No. __________.
3. That my marriage was solemnized with Mr. __________, on __________, That due to the different surname of my husband, my name has changed from Miss. __________ to Mrs. __________.
4. That I have been selected and appointed on probation as ______ Officer in __________ and the appointing authority has advised me to submit the Certificate confirming the change of my name.
5. That I, now addressed under my changed name as Mrs. __________, am one and the same person as Miss __________ before my marriage with Mr. __________ was solemnized.
6. That it is necessary to issue the Certificate in the changed name.

Signed at __________ this ___ day of ____,

DEPONENT

VERIFICATION

I, __________ the above-named deponent, do hereby verify on oath that the contents of the affidavit above are true to my personal knowledge and nothing material has been concealed or falsely stated.

Verified at __________ this ____ day of ______.

DEPONENT

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