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Affidavit for Name Change Template

Mr. P X JOHNSON, aged 65, affirms his name change from P S JOHNSON to P X JOHNSON through this affidavit. He declares that he will use P X JOHNSON for all legal and personal purposes henceforth. The affidavit is to be signed in the presence of a magistrate or notary, and the applicant must also publish the name change in two newspapers.

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49 views2 pages

Affidavit for Name Change Template

Mr. P X JOHNSON, aged 65, affirms his name change from P S JOHNSON to P X JOHNSON through this affidavit. He declares that he will use P X JOHNSON for all legal and personal purposes henceforth. The affidavit is to be signed in the presence of a magistrate or notary, and the applicant must also publish the name change in two newspapers.

Uploaded by

aynaonlinesolutions
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

SPECIMEN AFFIDAVIT FOR CHANGE IN NAME

(On non-judicial stamp paper of minimum value)

I Mr. …P X JOHNSON S/o XAVIE aged about 65 yrs, resided at…………


Ayyappankavu……………………. Do hereby solemnly affirm and sate a follows:

1. That my recorded name in Id proof is P X JOHNSON, but I myself popularly known as P S


JOHNSON.

2. That by virtue of this affidavit, I changed my name from P S JOHNSON to P X JOHNSON and
henceforth I shall be known as the P X JOHNSON 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 P X
JOHNSON 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 P


S JOHNSON and P X JOHNSON affix my signature and seal, if any, this 22nd day of April
2025

Signed sealed and delivered by the above name

Date: 22/04/2025

Former name: P S JOHNSON

In the presence of:

Name……………….. Name ………………….

Address……………. 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, applicant should insert advertisements in two reputed
newspapers (one local newspaper of the area in which he/she is residing and 2nd in newspaper
of the area of permanent address) and submit original newspapers at the time of applying to
Institute.

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