[{"id":"820e2a7b-879a-4dd8-8b1d-b38d055e484c","order":1,"text":"DEED OF CHANGE OF NAME","fontSize":"22","textAlign":"center","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"2a33b2d8-9e8d-49e9-aad3-cf474af06898","order":2,"text":"(Deed Poll)","fontSize":"16","textAlign":"center","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"24418543-4248-4213-9d39-2e4716166459","order":3,"text":"This Deed Poll is intended for enrolment in the Senior Courts of England and Wales, in the King's Bench Division of the High Court of Justice, pursuant to the Enrolment of Deeds (Change of Name) Regulations 1994.","fontSize":"12","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"aa3ca676-01d5-4091-851e-6ba76817209b","value":"yes","type":"add","operator":"="}]},{"id":"c9ca6627-0d9b-4a01-949e-10017bc7648c","order":4,"text":"BY THIS DEED OF CHANGE OF NAME made by me the undersigned [New full name] of [Address], [Town/City], [Postcode], [Country], a [Nationality] citizen, formerly known as [Former full name] (hereinafter called "the Applicant"):","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true},{"id":"af288879-c8dc-4509-afdd-df3f9fa82c99","order":5,"text":"I, the Applicant, was born on [Date of birth] at [Place of birth].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"a6767c95-dd71-4aa4-a524-24f457fd0dec","order":6,"text":"I confirm that I am single.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"97152d5c-e663-4119-8e88-a4b16c4fab31","order":7,"text":"This change of name relates to my own name only. It does not affect the name of any other person, and in particular it does not effect any change to the name of any child.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"76366571-bb8b-4f16-bff7-c39e43fcb90c","order":8,"text":"I confirm that this change of name is made in good faith and not for any fraudulent, dishonest or unlawful purpose, nor for the purpose of evading any liability, obligation or legal process, and that I am not subject to any bankruptcy restriction or other legal impediment preventing this change.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"11cdf8a9-30ec-4763-93c5-837bab0ed844","order":9,"text":"I acknowledge that this change of name does not affect my nationality, my immigration status, or any right, obligation or liability of any kind to which I was subject under my former name, all of which continue to attach to me under my new name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true},{"id":"fcaff35d-c94e-4715-97e5-531adb08782f","order":10,"text":"FIRST — ABSOLUTE RENUNCIATION OF THE FORMER NAME","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"10"},{"id":"c1152e0d-d63c-48ef-b2c2-819ce2a81636","order":11,"text":"I ABSOLUTELY and ENTIRELY RENOUNCE, RELINQUISH and ABANDON the use of my former name of [Former full name] and I DECLARE that I have ceased to use and shall at all times hereafter in all records, deeds, documents, instruments and other writings, and in all actions, proceedings, dealings and transactions, and upon all occasions whatsoever, wholly cease to use, subscribe or be known by my said former name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"3377c4f8-a35e-4f10-bbb3-b1c78d4773ac","order":12,"text":"SECOND — ADOPTION AND ASSUMPTION OF THE NEW NAME","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"5cc2ea6e-4982-444b-b7d9-cc4be5dd7567","order":13,"text":"I DECLARE that I shall at all times hereafter in all records, deeds, documents, instruments and other writings, and in all actions, proceedings, dealings and transactions, and upon all occasions whatsoever, use and subscribe the new name of [New full name] in substitution for my former name, so relinquished as aforesaid.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"0d480d50-e46e-4ffa-899b-e9cec242e3f3","order":14,"text":"THIRD — AUTHORISATION AND DEMAND","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"9c23d8a2-11d0-4104-b63a-aef71d4acd6c","order":15,"text":"I AUTHORISE and REQUIRE all persons at all times to designate, describe and address me by the new name of [New full name] only.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"abd68d4a-a38b-4b20-b1c5-365747508292","order":16,"text":"FOURTH — STATEMENT OF TRUTH","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"f00562d4-da42-419a-81d8-8294da7b933a","order":17,"text":"I believe that the facts and matters stated in this Deed are true. I understand that the change of my name recorded in this Deed is intended to be permanent and effective immediately upon execution.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"81953b54-ef99-4870-a0c0-7e75e8514579","order":18,"text":"EXECUTION","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"10"},{"id":"6f45deab-0e57-4bff-a041-5ac5d30931d2","order":19,"text":"IN WITNESS whereof I have executed this Deed and have hereunto subscribed both my former and my new name, and set my hand, this [Day] day of [Month and year].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"93f975ea-f6ff-4357-a043-11f9b8de1fae","order":20,"text":"SIGNED as a Deed, and delivered, by the Applicant (in the former name of [Former full name] and in the new name of [New full name]):","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"4fe3ffb5-6f1c-4009-953f-c6ad05132d93","order":21,"text":"____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"f650bcee-046f-4cf8-8c73-9ea398c257c4","order":22,"text":"Signature (former name): [Former full name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true},{"id":"0383a870-4543-4670-bbd7-948587a92da2","order":23,"text":"____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"dc5b4904-1aa1-4f5f-8fe9-e5981efa60e8","order":24,"text":"Signature (new name): [New full name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"8b7a5a49-a907-4626-9de3-efe72e8c6876","order":25,"text":"The Applicant signed this Deed in my presence, and I, being an independent adult witness not a party to this Deed, attest the signature of the Applicant in both the former and the new name.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"7994030f-97b0-493a-a4b1-527541cd06b0","order":26,"text":"____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"b7fa1515-dc7c-406b-88b1-7a0ef0788177","order":27,"text":"Witness signature","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"07a9c725-765a-47f0-b4ca-7c58689305a7","order":28,"text":"Name: [Witness full name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"6e372617-7269-425a-ba1f-d053f666ee31","order":29,"text":"Address: [Witness address]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"4b333ce2-56c0-41f9-a0fe-ec5d8a8c0bf6","order":30,"text":"Occupation: [Witness occupation]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"7bfe2c11-fb39-410a-a8b5-94e92a0bfd00","order":31,"text":"The Applicant also signed this Deed in the presence of a second independent adult witness:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"6cd3ed29-5191-4fb2-afe6-e67790d2e7b3","value":"yes","type":"add","operator":"="}]},{"id":"203aa4e8-9be4-4154-952b-9184de174121","order":32,"text":"____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true,"displayConditions":[{"field":"6cd3ed29-5191-4fb2-afe6-e67790d2e7b3","value":"yes","type":"add","operator":"="}]},{"id":"3d66ddff-253d-4610-b5fc-fd0431d0f8c3","order":33,"text":"Witness signature","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"6cd3ed29-5191-4fb2-afe6-e67790d2e7b3","value":"yes","type":"add","operator":"="}]},{"id":"f9a5851f-dce5-4b3d-b815-6ad4b4c7755f","order":34,"text":"Name: [Second witness full name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"6cd3ed29-5191-4fb2-afe6-e67790d2e7b3","value":"yes","type":"add","operator":"="}]},{"id":"64d98d4c-205f-442e-8041-2c190695ee85","order":35,"text":"Address: [Second witness address]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"6cd3ed29-5191-4fb2-afe6-e67790d2e7b3","value":"yes","type":"add","operator":"="}]},{"id":"559624ec-3007-449e-98cd-554944c0beac","order":36,"text":"Occupation: [Second witness occupation]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true,"displayConditions":[{"field":"6cd3ed29-5191-4fb2-afe6-e67790d2e7b3","value":"yes","type":"add","operator":"="}]},{"id":"7bc3c7f9-1481-4b28-8407-492c508d54ee","order":37,"text":"STATUTORY DECLARATION IN SUPPORT OF ENROLMENT","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"marginTop":"20","displayConditions":[{"field":"aa3ca676-01d5-4091-851e-6ba76817209b","value":"yes","type":"add","operator":"="}]},{"id":"c69d147c-8935-41fe-998d-cb54d07756d1","order":38,"text":"I, [New full name], formerly [Former full name], do solemnly and sincerely declare that I am a [Nationality] citizen and that the change of name effected by the above Deed is genuine and is not made for any fraudulent or unlawful purpose, and I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act 1835.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"aa3ca676-01d5-4091-851e-6ba76817209b","value":"yes","type":"add","operator":"="}]},{"id":"560adf81-de89-4c33-ba7a-e269deea7396","order":39,"text":"____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true,"displayConditions":[{"field":"aa3ca676-01d5-4091-851e-6ba76817209b","value":"yes","type":"add","operator":"="}]},{"id":"02d8e5aa-33b4-4c5b-b374-2b45afc38a28","order":40,"text":"Declared before me, a person authorised to administer oaths, this [Day] day of [Month and year].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true,"displayConditions":[{"field":"aa3ca676-01d5-4091-851e-6ba76817209b","value":"yes","type":"add","operator":"="}]},{"id":"ab736da7-2e9c-43f2-afd2-208a1c1082a3","order":41,"text":"NOTIFICATION OF CHANGE OF NAME","fontSize":"20","textAlign":"center","bold":true,"underline":false,"marginBottom":"24","cflou":false,"active":true,"marginTop":"30"},{"id":"9fcea691-50a3-4f4c-8ed8-804f31e67664","order":42,"text":"[New full name]
[Address]
[Town/City], [Postcode]","fontSize":"14","textAlign":"right-align","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"db81d0f3-0699-4b14-9097-cd2a27dbe466","order":43,"text":"[Recipient / organisation]
[Recipient address]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"e0aacf9f-4aa4-4477-819a-d8410eade201","order":44,"text":"[Date of the letter]","fontSize":"14","textAlign":"right","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"bbfccdd6-fe88-4f2c-8b21-b327b605769d","order":45,"text":"Dear Sir or Madam,","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"e7420a8f-a7ab-432e-9708-fea03bd54a6c","order":46,"text":"RE: NOTIFICATION OF CHANGE OF NAME","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"259565a2-12b7-4d90-99ea-f04d5b465599","order":47,"text":"Your reference: [Your reference / account number]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"2f0e5859-472b-48a4-b170-a5e24c1740cb","value":"yes","type":"add","operator":"="}]},{"id":"a2bb2f4a-52d3-4cc7-b54e-107af77f2345","order":48,"text":"I write to notify you that I have formally changed my name from [Former full name] to [New full name] by Deed Poll dated [Date of the Deed Poll].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"7d44c574-3480-475d-b8df-30de16f278f8","order":49,"text":"I should be grateful if you would update your records accordingly to reflect my new name and cancel all references to my former name. A certified copy of the Deed Poll is enclosed for your reference. Please confirm in writing once your records have been amended.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"063972d8-d5a0-41dd-be83-2cf7279d30d2","order":50,"text":"Yours faithfully,","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"40f83a7f-906c-4ff0-8a81-3994f4035459","order":51,"text":"____________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"eecaee45-269b-4680-a04c-eda38f0db19f","order":52,"text":"[New full name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true}]