I, _______ son/daughter/wife of _______, resident of _______(Address), _______(District), _______(State), _______(Country), do hereby solemnly affirm and declare as under:-
1- That the deponent is the permanent resident of the above mentioned address.
2- That the deponent name has been recorded as _______ in all the educational certificates and in other relevant documents etc.
2- That the deponent has changed his/her name as _______ in place of previous name _______.
3- That in future deponent will be known by new name i.e. _______ in future for all purposes.
Verified that the above contents of this affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein.
Verified at _______ on _______