SPECIMEN AFFIDAVIT FOR CHANGE IN NAME /DEED POOL/SWORN AFFIDAVIT (ON NON-JUDICIAL STAMP PAPER)
By this deed I, the undersigned (New Name) previously called. (Old name), doing (Give profession or avocation) and resident of .. (Address) solemnly declare. 1. That for and on behalf of myself and my wife and children and remitter issue wholly renounce/relinquish and abandon the use of my former name/surname of. and in place there of I do hereby assume from this date the name /surnamead so that I and my wife, children and remitter issue may hereafter be called, know distinguished not by my former name/surname, but assumed name/surname of . 2. That for the purpose of evidencing such my determination declare that I shall at all times hereafter in all records, deeds and writing and I all proceedings, dealings and transactions private as well as upon all occasions whatsoever use and sign the name of...as any name/surname in place and in substitution of my former name/surname 3. That I expressly authorize and request all persons in general and relatives and friends in particular, at all times hereafter to designate and address me, my wife, children, remitter issue by such assumed name/surname of .accordingly. 4. In witness whereof I have hereunto subscribed my former and adopted name/surname of .and affix my signature. Signed, sealed & delivered by the above named Date In the presence of Name Name Address Address
Specimen affidavit to be submitted along with application for a passport by a woman applicant for change of name after marriage (joint affidavit to be submitted along with her husband). (To be executed on no-judicial stamp paper) We, 1.. (Maiden name of Wife) 2. .. (Name of Husband) Solemnly declare and affirm as under: 1. That we are married under.marriage Act/Rites/Customs are living together as married couple since .(date of marriage) 2. That ..(maiden name of wife) would henceforth be known as (Name of wife after marriage) by virtue of our marriage. 3. That our joint photograph is affixed bellow. Signature of Deponent 1.. 2.. Date: NOTE: 1. This affidavit may be sworn before a magistrate/Notary Public in India or Consular official abroad; 2. The joint photograph of the couple is to be pasted on the bottom left hand side of the affidavit and attested by the magistrate with his/her signature and rubber stamp (half on the photograph and half on the affidavit).