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(It should be given on 20 Rs Stamp paper)

Name Difference Affidavit

I, XXXXX (Applicant Name) D/O XXXXX aged about XXXXX years, residing at
XXXXX (Address), do hereby solemnly affirm and state on oath as follows:

I here by declare that my name is XXXXX as per my Passport, passport number


XXXXX.

However my surname has changed due to marriage and it is reflected in the below
documents:

My Name was mentioned as below in my Educational, Passport, Marriage certificate and


Experience documents as :

XXXXXXXXXXXX
XXXXXXXXXXXX
XXXXXXXXXXXX
XXXXXXXXXXXX
XXXXXXXXXXXX
XXXXXXXXXXXX
XXXXXXXXXXXX

All the above names belong to only one person and that person is me XXXXXXXX.

I declare that I would be using this affidavit for all General and official purposes.

What is stated above is true and correct to the best of my knowledge and belief.
I make the solemnly declaration that, the information contained in this declaration is true
in every particular.

Place: XXXXX Deponent


Date: XXXXX

Sworn Before Me
(Notary person seal & Signature)

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