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 three years Bachelors Degree in________,
Course from ________________College, affiliated to your University under name
Miss.___________from the year ____ to ______under roll No.____________.
3.
That my marriage was solemnized with Mr.__________, on
____________, That due to 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 change of my name.
5.
That I, now addressed under my changed name as Mrs.
_______________ is 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.
DEPONENT
Signed at _____________ this ___ day
of ____,
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