Space for the e-stamp certificate
Print this first page on the e-stamp paper so the stamp certificate sits in this space, or attach the e-stamp certificate in front of this page before anyone signs.
Affidavit for Change of Name
An affidavit for an adult in India who changes their name, affirmed before a notary or oath commissioner on stamp paper or with an e-stamp certificate of the value the state sets. Template v1.0.
Name of the deponent (new name): New name
Formerly known as (old name): Old name
Son, daughter or wife of: Son, daughter or wife of
Date of birth: Date of birth
Occupation: Occupation
Residing at:
I, the deponent named above, solemnly affirm and state as follows:
1. I have changed my name from my old name to my new name, both given above.
2. I have changed my name for this reason:
3. I hold these identity documents, in the names shown:
4. My old name and my new name refer to one and the same person, and that person is me.
5. From now on I will use only my new name, for all purposes. I will have my records, documents, certificates and accounts changed to my new name.
6. I make this change of name in good faith and not to avoid any debt, liability or legal proceeding.
Verification
Verified at: Place of verification
State: State where signed
I, the deponent named above, verify on the date written below that the contents of this affidavit are true and correct to my knowledge and belief, that no part of it is false, and that I have not concealed anything material.
Sworn or affirmed before an officer
Sworn or affirmed before me by the person who signed above, who proved who they are to me, at the place and on the date written below.
Seal or stamp of the officer, where the law of the place requires one.
