Change of Surname after Marriage

TO WHOMSOEVER IT MAY CONCERN.

I, Miss ……………………. d/o …………………… r/o…………………. aged …………….. do hereby notify that after my marriage on ………………… at [City Name] with Shri …………………… my surname stands changed from “[Old Name]…..” to “[New Name]……”

Sd/-
Name Old
Name New