Sworn Affidavit/deed Poll - Name Change For Minor printable pdf download

SWORN AFFIDAVIT/DEED POLL

By this deed, I, the undersigned (new name) _______________________________, father of

________________________________,

formerly

called

(old

name)

___________________________,

doing

(give

profession)_____________________________,

resident

_________________________

and

presently

residing

at*

___________________________________________

and

holding

Indian

passport

no.

_________________, issued at _________________, on _________________, do hereby solemnly

affirm and declare :

1. That for and on behalf of myself and my wife and remitter issue, I wholly

renounce/relinquish and abandon the use of my son’s name/surname (old name)

______________________ so that he and remitter issue hereafter be called, known and

distinguished not by his former name/surname but assumed name/surname of (new name)

___________________________

2. That for the purpose of evidencing such determination, I declare that he shall, at all times

hereafter, in all records, deeds and writings and in all proceedings, dealings and

transactions, private as well as official, business and all others and upon all occasions

whatsoever, use and sign the name of (new name) ________________________ as his

name/surname in place of and in substitution for his former name/surname.

3. That I expressly authorize and request all persons in general, relatives and friends in

particular, at all times hereafter to designate and address my son, remitter issue by such

assumed name/surname of (new name) _________________________ accordingly.

4. In witness whereof, I have hereunto subscribed his former and adopted name/surname of

(old name) _________________ and (new name) ________________________ and affix

my signature and seal (if any), this ______________________ day of ________________

Signed, sealed & delivered by the above

Name ___________________________

Passport no.______________________

Date of issue______________________

Place of issue_____________________

*(Please give complete physical location and not just the P.O. Box no.

Please indicate

Flat/Apartment/Villa no., No./Name of the Building, No/Name of the Street, Area/Zone, also

important landmarks to help identify the building etc. and telephone/telex/fax no. and e-mail address,

if any)

Sworn Affidavit/deed Poll - Name Change For Minor

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