Change of Name

I, ……..…………………………….. (Name) S/o or D/o …………………..……………………… R/o ……………………. aged ………… D.O.B. ………………… do herby notify the change of may name to ………………………………… (New name) and I be called henceforth no onwards by my new name.

S/o (Old Signature)  									                     Sd/-

Old Name …………………….          Name Signature………………
Name New……………………