Name Change Affidavit Format
Name change affidavit format – Name change after marriage:
I, __________ daughter of __________ and wife of ____________ aged __ , residing at __________ , do hereby solemnly affirm and declare as under:
1. That my maiden name is ___________.
2. That I got married to Shri. (name of the husband) on (date of marriage) at ____________(place of marriage).
3. After marriage, my name is __________ and all the records have the same name.
4. I have not obtained the marriage certificate.
5. I state that (maiden name) and the (present name) is the name of one and the same person and that is myself.
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 are true to the best of my knowledge.
Solemnly affirmed at_____________On this_______day of _______2021
(Signature of the Applicant)
(Passport Size Joint Photograph with a spouse)
Identified by me Before Me
Advocate S.E.M./ Oaths Commissioner/Notary
Important notes on a name change after marriage affidavit format
1. The affidavit should be on the Non-judicial stamp paper of Rs.100/- (VARY IN STATES)
2. Please fill up the details as per the documents you are annexing. Please do not just type this format as it is.
3. Please affix passport size joint photographs with your spouse.
4. The Affidavit should be attested by Notary/S.E.M/ Oaths Commissioner
Change in Name Affidavit Specimen
It should be printed on On non-judicial stamp paper of minimum value
I Mr. ………………… S/o ………… aged about yrs resided at……………. Do hereby solemnly affirm and state as follows:
1. That my recorded name in school and college is (YOUR NAME), but I myself popularly known as (New name).
2. That by virtue of this affidavit, I changed my name from YOURNAME (old name) to CHOSEN NAME (new name) and henceforth I shall be known as the CHOSEN NAME (new name) for all purposes.
3. That for the purpose of evidencing such my determination declare that I shall at all times hereafter in all records, deeds, and writings and in all proceedings, dealings and transactions, private as well as upon all occasions whatsoever, use and sign the name of ………………… as my name/surname in place and in substitution of my former Name/surname.
4. That the facts stated above are true to the best of my knowledge and belief.
5. In witness whereof, I have hereunto subscribed my former and adopted name/surname of ………….. and ……… affix my signature and seal, if any, this ………………….. Day of ………
Signed sealed and delivered by the above name
Date…………….
Former name……………
In the presence of:
Name ………………….
Address ………………..
(This affidavit may be signed and attested in presence of a Judicial Magistrate or Executive Magistrate/Notary Public or Consular Officer in an Indian Mission abroad)
Note: In case of change of name, the applicant should insert advertisements in two reputed newspapers (one local newspaper of the area in which he/she is residing and 2nd in the newspaper of the area of permanent address) and submit original newspapers at the time of applying to Institute.
Name change affidavit format – Declaration for change of signature.
I, __________ son/daughter/spouse of __________ aged ___, residing at __(address)___, do hereby solemnly affirm and declare as under:
That I, Shri/Smt. ————–S/W/D/o……………….aged……Occupation ………., R/o…………..
I am residing at the above-mentioned address and have not changed my address in the past three years.
OR
I am residing at the above-mentioned address for the past (period of time at the present address) and before that, I was staying at (the earlier address) for (period of time at the earlier address).
That I have changed my signature.
OR
That my signature has changed/altered by passing of time.
Therefore I request that the specimen signature registered in the records be canceled and my present signature be taken on record against the same.
- I hereby affirm that the signature can be taken as validly executed by me for all purposes, and intents.
- On registering the new signature in the records, I do hereby covenant and agree and undertake at all times save, defend and to indemnify and keep indemnified any part thereof or otherwise in connection with the same, and from and against all losses, costs, claims, actions, demands, risks, charges, expenses, damages and losses arising in any manner howsoever.
I am executing this declaration to be submitted to the concerned authorities for the change of signature.
I hereby state that whatever is stated herein above are true to the best of my knowledge.
Solemnly affirmed at ________On this ____ day of ______ 2021
(Signature of the Applicant)
Identified by me Before Me
Advocate S.E.M. / Oaths Commissioner/Notary
Need to follow for name change affidavit
- The affidavit should be on Non-judicial stamp paper of Rs.100/-.
- Please do not just type this format as it is.
- The affidavit should be attested by Notary/S.E.M/ Oaths Commissioner
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