[{"id":"784a04a6-177e-4e00-9b3d-b464fd629b96","order":10,"text":"AFFIDAVIT FOR CHANGE OF NAME","fontSize":"20","textAlign":"center","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true},{"id":"76789999-523a-4fc1-bef9-2bfb9f100445","order":20,"text":"(Sworn before a Notary Public / Oath Commissioner)","fontSize":"12","textAlign":"center","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"96a6cdfa-c756-4567-b77f-585aff745f31","order":30,"text":"(To be executed on non-judicial stamp paper / e-stamp paper of the value prescribed in the State of execution)","fontSize":"11","textAlign":"center","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"0822a0c0-9650-4a8c-8edd-ed28d56da1d7","order":40,"text":"BEFORE THE NOTARY PUBLIC / OATH COMMISSIONER AT [Place], STATE OF [State]","fontSize":"14","textAlign":"center","bold":true,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"ee58af71-cbc1-4d97-987f-9e2cd5828063","order":50,"text":"I, [Full present name of the deponent], son/daughter/wife of [Father's / husband's name], aged [Age] years, by profession [Occupation], by religion [Religion], an Indian citizen, holding Aadhaar No. [Identity document number], residing at [Full residential address], [PIN code], do hereby solemnly affirm, take oath and sincerely declare as follows:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"3f2357d6-1e89-486f-ad2b-b3d449f3103d","value":"1","type":"remove","operator":"="}]},{"id":"7de94c1e-9977-4362-b087-778db8e85762","order":60,"text":"I, [Full name of the parent / guardian], father/mother/guardian of the minor, aged [Age] years, by profession [Occupation], by religion [Religion], an Indian citizen, holding Aadhaar No. [Identity document number], residing at [Full residential address], [PIN code], being the natural / lawful guardian of the minor named below, do hereby solemnly affirm, take oath and sincerely declare as follows:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"3f2357d6-1e89-486f-ad2b-b3d449f3103d","value":"1","type":"add","operator":"="}]},{"id":"5de355f7-2479-4901-820f-9e3f654bc8bd","order":70,"text":"1. DECLARATION OF CHANGE OF NAME","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"6","sectionNum":"S01"},{"id":"59343273-b18f-4b46-82df-f717973ace44","order":80,"text":"That my name has been recorded and is known as [Old / former name] in my existing official records and documents. I have henceforth changed my name from [Old / former name] to [New name], and I wish to be known by my new name [New name] for all purposes hereafter.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"3f2357d6-1e89-486f-ad2b-b3d449f3103d","value":"1","type":"remove","operator":"="}]},{"id":"f5caf041-5562-4ce6-bc87-51d51c496e1d","order":90,"text":"That the name of my minor son/daughter, [Minor's old / former name], has been recorded as such in the existing official records. The name of the said minor has henceforth been changed from [Minor's old / former name] to [Minor's new name], and the said minor shall hereafter be known by the new name [Minor's new name].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"3f2357d6-1e89-486f-ad2b-b3d449f3103d","value":"1","type":"add","operator":"="}]},{"id":"de988fcb-a398-4bf8-be5a-d3a52f8d3c92","order":100,"text":"2. REASON FOR THE CHANGE OF NAME","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"6","sectionNum":"S02"},{"id":"6be365d1-a5bb-47a4-8c69-a5596b94e593","order":110,"text":"That, consequent upon my marriage solemnised on [Date of marriage] with [Name of spouse], I have adopted my new name in place of and in substitution for my former name, in accordance with prevailing social and customary practice.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"marriage","type":"add","operator":"="},{"field":"4850717a-f6b7-49e0-ae18-952780146342","value":"addition","type":"remove","operator":"="}]},{"id":"9929019a-940c-47bb-af47-8dd41ca0a39f","order":120,"text":"That, consequent upon my marriage solemnised on [Date of marriage] with [Name of spouse], I have added my spouse's name / surname to my former name, and I wish to be known by my new name comprising the said addition, in accordance with prevailing social and customary practice.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"marriage","type":"add","operator":"="},{"field":"4850717a-f6b7-49e0-ae18-952780146342","value":"substitution","type":"remove","operator":"="}]},{"id":"e7d65dc2-e370-4057-8bda-702e80d63899","order":130,"text":"That, consequent upon the dissolution of my marriage by a decree of divorce dated [Date of decree] passed by the [Name of the Court], I have reverted to / adopted my new name in place of the name borne during the subsistence of the said marriage.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"divorce","type":"add","operator":"="}]},{"id":"27a6dd93-bc33-4c45-bfe3-9e47c6a6dc2d","order":140,"text":"That the change of name is being made in order to correct and rectify the discrepancy / spelling error in my name as it appears in my official records, so that my correct name [Correct name] is uniformly reflected in all such records.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"correction","type":"add","operator":"="}]},{"id":"beac3c3a-81c5-49bd-9ec4-256392fdd5e6","order":150,"text":"That I have changed my name of my own free will, for personal reasons, namely [Reason], and without any intent to defraud, deceive or evade any law, obligation or liability.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"personal","type":"add","operator":"="}]},{"id":"c8d34a5e-a828-4062-884b-538ce50e2eb2","order":160,"text":"That I have voluntarily embraced and converted to [New religion] of my own free will and accord, and consequent upon the said conversion I have adopted my new name in place of my former name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"conversion","type":"add","operator":"="}]},{"id":"81a32cbd-d0ff-4a9c-9bd0-d2dbecc0a738","order":170,"text":"3. SUPPORTING RECORD","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"6","displayConditions":[{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"correction","type":"remove","operator":"="},{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"personal","type":"remove","operator":"="},{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"conversion","type":"remove","operator":"="}],"sectionNum":"S03"},{"id":"8744e6af-c97a-4abc-bae6-ce5703f40804","order":180,"text":"That the aforesaid marriage stands duly registered and is evidenced by the Marriage Certificate / register, a true copy whereof is available with me and may be produced before any authority requiring the same.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"marriage","type":"add","operator":"="}]},{"id":"cb5f0ac5-e8db-4ee6-be3d-c718ad0de80d","order":190,"text":"That the aforesaid decree of divorce is a final and subsisting order, a certified copy whereof is available with me and may be produced before any authority requiring the same.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"divorce","type":"add","operator":"="}]},{"id":"41bb2925-6e9b-4abe-a0e5-99fd9f597ac3","order":200,"text":"4. PARTICULARS OF RELIGIOUS CONVERSION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"6","displayConditions":[{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"conversion","type":"add","operator":"="}],"sectionNum":"S04"},{"id":"3521ca75-db0e-48e5-80ed-11f3dcfd42bd","order":210,"text":"That my former religion was [Former religion] and I have, with full understanding and without any coercion, inducement or fraud, embraced [New religion] on [Date of conversion] at [Place of conversion]. The said conversion has been performed in accordance with the rites and ceremonies of the religion so embraced.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"dfd122b1-c6b0-4456-a32e-070ff3927c0a","value":"conversion","type":"add","operator":"="}]},{"id":"50292ab4-dc9b-4609-9b6a-eb6e487fcfce","order":220,"text":"5. ONE AND THE SAME PERSON","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"6","sectionNum":"S05"},{"id":"9eeb5417-c8cd-46f2-ac5a-cced5f9c553a","order":230,"text":"That the former name [Old name] and the new name [New name] refer to and denote one and the same person, that is to say, myself, and shall be read and construed accordingly in all records, documents and dealings, whether past or future.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"3f2357d6-1e89-486f-ad2b-b3d449f3103d","value":"1","type":"remove","operator":"="}]},{"id":"bd116e12-89df-45f3-aba6-08c33977c322","order":240,"text":"That the former name [Minor's old name] and the new name [Minor's new name] refer to and denote one and the same minor, that is to say, my said minor child, and shall be read and construed accordingly in all records, documents and dealings, whether past or future.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"3f2357d6-1e89-486f-ad2b-b3d449f3103d","value":"1","type":"add","operator":"="}]},{"id":"022ead97-abb4-4ab9-bb7b-59293c52dc74","order":250,"text":"6. UPDATING OF OFFICIAL RECORDS","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"6","sectionNum":"S06"},{"id":"f420c602-c148-471d-8288-aa0643fef726","order":260,"text":"That this affidavit is made to enable all concerned authorities, departments and institutions, including but not limited to the Aadhaar (UIDAI), Permanent Account Number (PAN), passport, election (voter) records, bank accounts, educational and service records, to record, substitute and update the new name in place of the former name in their respective records and to issue fresh documents accordingly.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"e3eb9604-da23-46c9-993a-4b6fcbf1d585","order":270,"text":"That wherever my former name or any variant or different spelling thereof appears in any record, certificate, instrument or document, the same shall hereafter be read, understood and treated as referring to my new name, and this affidavit may be relied upon to reconcile any such discrepancy.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"904a5c03-e1c7-4fa7-bbdc-a271f34d372d","order":280,"text":"That the said change of name shall not affect, prejudice or discharge any right, title, interest, liability or obligation lawfully acquired or incurred by me under my former name, all of which shall continue to subsist and bind me under my new name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"749b20fb-ac86-4e16-ae02-e18229959d63","order":290,"text":"7. PUBLICATION IN THE GAZETTE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"6","sectionNum":"S07"},{"id":"07acc5ea-24f0-4421-91e6-05b9fefb38b7","order":300,"text":"That I undertake to cause the said change of name to be notified and published in the Official Gazette of [Gazette of India / State Gazette], and the present affidavit shall form the basis of and accompany the said publication and all consequential applications.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"8692776a-5927-4561-85a6-969a29634862","order":310,"text":"8. BONA FIDE DECLARATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"6","sectionNum":"S08"},{"id":"c2c994ba-c9b2-4f2b-9a5c-618315dae19f","order":320,"text":"That the change of name has been effected in good faith and not with any fraudulent or unlawful intent, nor to evade any tax, debt, obligation or legal process. No criminal proceeding is pending against me in respect of, or in connection with, the said change of name. I shall be solely responsible for any consequences arising from the said change of name and indemnify all concerned authorities acting upon this affidavit.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"9d24dec4-8660-4bd0-8908-24bfa09e9cde","order":330,"text":"9. DECLARATION ON BEHALF OF THE MINOR","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"6","displayConditions":[{"field":"3f2357d6-1e89-486f-ad2b-b3d449f3103d","value":"1","type":"add","operator":"="}],"sectionNum":"S09"},{"id":"225a4b8a-f462-4bb2-a117-d267b7683039","order":340,"text":"That I am the natural / lawful guardian of the said minor, who was born on [Minor's date of birth], and that I am competent and entitled to make this affidavit and to effect the said change of name on behalf of the said minor in the minor's best interest.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"3f2357d6-1e89-486f-ad2b-b3d449f3103d","value":"1","type":"add","operator":"="}]},{"id":"cb25f5b8-deeb-4e5a-b65d-a021b3e00e68","order":350,"text":"10. VERIFICATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true,"marginTop":"6","sectionNum":"S10"},{"id":"3bc001ba-4802-4176-8cd0-88c7793b8843","order":360,"text":"Verified at [Place] on this [Date] that the contents of the above affidavit are true and correct to the best of my knowledge and belief, that nothing material has been concealed therefrom and that no part thereof is false.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"524194c5-dfcb-4106-aec7-d1fcd3ab43ce","order":370,"text":"DEPONENT","fontSize":"14","textAlign":"right","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true,"marginTop":"20"},{"id":"85326475-9712-440b-88d5-e460e588339f","order":380,"text":"[Signature / Name of the deponent]","fontSize":"14","textAlign":"right","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"b719bab2-d387-478b-bd82-aee6f3451f46","order":390,"text":"Solemnly affirmed and signed before me at [Place] on [Date] by the deponent, who is known to me / has been identified to my satisfaction on the basis of the identity document referred to above.","fontSize":"12","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"d0d74c6a-dcfe-4473-b82c-1c27afb56ce1","order":400,"text":"NOTARY PUBLIC / OATH COMMISSIONER","fontSize":"12","textAlign":"left","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"0cf4934a-ebd9-4053-bc77-6f4e084bfa09","order":410,"text":"(Signature, official seal, registration number and date)","fontSize":"11","textAlign":"left","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true}]