AFFIDAVIT TO BE SUBMITTED WITH THE APPLICATION FOR CHANGE OF NAME IN THE CERTIFICATE.

The Registrar,
_________________________ University
Affidavit of Miss._priya_________________________
D/o, of Mr. Pankaj_X_____________ now Mrs. ___________, wife of Mr_______________, aged _____ years, resi _mall Road,Kanpur___________________________________.

I, the above named deponent, solemnly affirm and state as under:

.That I am the applicant in the application being submitted for the change in name and as such I am fully conversant with the facts deposed to below.

.That I pursued and passed three years Bachelors Degree in Commerce (Hons.), Course from ________________College, affiliated to your University under name Miss._______________from the year ______________ to _______________________under roll No.____________.

.That my marriage was solemnized with Mr.___________________, on ____________, That due to different surname of my husband, my name has changed from Miss. _____________________________ to Mrs. _________________________________

.That I have been selected and appointed on probation as Section Officer in ________________ and the appointing authority has advised me to submit the Certificate confirming change of my name.

.That I, now addressed under my changed name as Mrs._________ _______________ is one and the same person as Miss___________________________ before my marriage with Mr. ________________ was solemnized.

.That it is necessary to issue the Certificate in the changed name.

DEPONENT
Signed at _____________ this ___ day of ____,

                                                                      VERIFICATION

I, ________________________________ the above named deponent do hereby verify on oath that the contents of the affidavit above are true to my personal knowledge and nothing material has been concealed or falsely stated. Verified at _______this _____day of_______

DEPONENT