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1. That my maiden name is __________________________________________________.2. That I got married to [name of the husband] on [date of marriage] at [place of marriage] vide marriage certificate having number _______________ dated ___________, issued by _______.
3. After marriage my name is ________________________________________ .
4. That in my marriage certificate both the names of mine and name of my husband are stated.
5. That my AADHAR number is ____________________ which is same before and after marriage.
6. That my PAN number is __________________________ which is same before and after marriage.
7. That the said expanded initial (Name), namely ,may kindly be treated as first name _ , may be treated as middle name, _ as the last name.
8. 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 my name in membership database.
I hereby state that whatever is stated herein above are true to the best of my Knowledge.
____[Signature of Deponent]______ ________Date_________
(Affix Passport Size Photograph)
Witness
1)
2)
(Affix Passport Size Photograph)
NOTES: 1. The affidavit has to be sworn before a Notary Public.
2.The photograph of the Deponent should be pasted on the affidavit and attested by the Notary Public with his/her signature and rubber stamps.
3. Copy of Aadhar card, PAN card, Marriage Certificate to be attached.
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