I, _______ Son of _______ Resident of _______, do hereby solemnly affirm and declare as under:-
1. That I am the permanent resident of above said address.
2. That I am the Pan Card Holder bearing its No. ________.
3. That Change my Pan Card Name from ________ to ________.
4. That my above said statement true and correct.
Verified that the contents of above my said affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein.