Application For Change Of Name printable pdf download

Application For Change Of Name

APPLICATION FOR CHANGE OF NAME

ANNEXURE-1

THE DISTRICT MAGISTRATE

ADDITIONAL DISTRICT MAGISTRATE

EXECUTIVE MAGISTRATE.

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Sir,

1. I (existing full name of the person concerned in block letters) of ( here insert his full

present address showing door No. locality, Village or town or city, Police Station. Taluk

and District) was born at ------------------ and am a Citizen of India.

2. My age on the date of application is ------------ )date of birth in the Christian era and

age.

3.My father’s full name is/was : (in block letters)

4. My mother’s full name is/was :

( in block letters)

5.I am single/married/a widow/widower/a divorce:

6. My Wife’s /husband’s full name is was:

7. Marks of identification:

(1)

(2)

8. Occupation:

9. I am in the service of State Government of the

Government of India (State the name of the

Government designation and date of his appointment)

10.Profession or occupation other than Government Services

(here state details regarding designation, name and

address of employer, station of posting etc):

Application For Change Of Name