AnnexureD .pdf

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Original filename: AnnexureD.pdf
Title: ANNEXURE D - Passport Seva Project
Author: 220145

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ANNEXURE ‘D’
SPECIMEN AFFIDAVIT TO BE SUBMITTED ALONG WITH APPLICATION FOR
PASSPORT BY A WOMAN APPLICANT FOR CHANGE OF NAME AFTER
MARRIAGE (JOINT AFFIDAVIT TO BE SUBMITTED ALONG WITH HER HUSBAND)
(To be executed on non-judicial stamp paper of minimum value)
1………………………………………………………………………………
(maiden name of wife)
2.……………………………………………………………………………….
(name of husband)
solemnly declare and affirm the following:
1. That we are married under ……………………….Marriage Act/Rights/Customs and
are
living
together
as
married
couple
since……………………………………………(date of marriage)
2. That ………………………………..(maiden name of wife) would henceforth be known
as …………………………….(name of wife after marriage) by virtue of our marriage.
3. That our joint photograph is affixed below.
We,

Date:
Signature & address of Deponents
1……………………….
2………………………
Note:

1. This affidavit may be sworn before a Magistrate/Notary.
2. The joint photograph of the couple is to be pasted on the bottom left hand
side of the affidavit paper and attested by the Magistrate/Notary with his/her
signature and rubber stamps (half on the photograph and half on the affidavit).
3. Declaration 2 above to be ignored by applicants who seek endorsement of
name of spouse in respect of reissue of a previously issued passport.
4. If a joint photograph cannot be affixed, then affidavit should indicate the
reason why it cannot be affixed.


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