Name Change Affidavit Format, Affidavit For Name Correction, Undertaking For Name Change in Gazette
AFFIDAVIT FOR CHANGE IN NAME
By this deed, I the undersigned Harshita A Pandiyani (New Name), previously called Prakashben A Pandiyani (Old Name), aged 26 years, and resident of (Address)
[1] That for and on behalf of myself and my husband and remitter issue wholly renounce/relinquish and abandon the use of my former name / surname of Harshita A Pandiyani and in place of thereof I do assume from this date the name / surname Prakashben A Pandiyani
[2] 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, dealing and transactions, private as well as upon all occasions whatsoever use and sign the name of Prakashben A Pandiyani as my name / surname in place and in substitution of my former name / surname.
[3] That I expressly authorize and request all person in general and relatives and friends in particular, at all times hereafter to designate and address me, my husband, remitter issue by such assumed name / surname of Prakashben A Pandiyani accordingly.
[4] In witness of I have hereunto subscribed my former and adopted name / surname of Harshita A Pandiyani and Prakashben A Pandiyani affix my signature and seal, if any, this day – 2020
Date : / /2020 Signed sealed and
Place : delivered by the above name
