Affidavit for change of name after marriage

 

I _________ d/o ____________ and wife of _________ aged ______, residing at ________, do hereby solemnly affirms and declare as under:

1.       That my maiden name is ________.

2.       That I got married to Shree.___________(name of the husband) on ______(date of marriage) at ________(place of marriage).

3.       After marriage my name is ___________ in all the records have the same name.

4.       I have not obtained the marriage certificate I state that _________ maiden name and the _______(present name) is the name of one and same person and that is myself.

 

I am executing this declaration to be submitted 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 affirm at _________

On this _____ day of ______                                                                                             signature of the applicant

Deponent 

 

(passport size joint photograph with spouse)

 

Identified by me                                                                                                                                               Before me

 

Advocate                                                                                                                                                              Notary