AFFIDAVIT WITH THE APPLICATION FOR CHANGE OF NAME IN THE CERTIFICATE
	Before the Registrar  ………………..University . ………………..
 
Affidavit of Km . ………………..now Smt  ………………..aged about  ………………..years, wife of Shri ........	resident	of...................................
 
I, the above named deponent, solemnly affirm and state as under:
 
1.	1.       That I am the applicant in the application submitted for the change of name and as such I am fully conversant with the facts deposed to below.
2.	2.       That I passed my  ………………..Examination with Roll No  ………………..f rom ....................University in                 the year 1986 with my name Km . ………………..
3.	That I am the daughter of Shri ………………..At the time of my admission to the school, my name was Km .            ………………..  which continued till my marriage with Shri .............in  ………………..
4.	That after my marriage with Shri  ………………..due to change in surname of my husband, my name has changed from Km . 	to Smt . 
 
5.	That I have been appointed as  ………………..in ............and the appointing authority has asked me to submit the certificate issued by the University with the changed name.
 
6.	That I who is now called as Smt  ………………..is the same person as Km .  ………………..before my marriage with Shri 
7.That as required by the 	I it is necessary to issue certificate in the changed name.	
	
I the above named deponent, do hereby declare and verify that the contents of paragraphs 1 to 7 of this Affidavit are true to my knowledge, nothing material has been concealed and no part of it is false. So help me God.
 
	Verified at…………………….this…………………….day of…………………….20……………………. 
Date…………………….							Deponent