CHANGE OF NAME IN THE CERTIFICATE

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

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