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Affidavit for Name Change in Passport

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Title

Applicant Name

Relation *

Guardian's Name *

Age *

Address *

Passport Number *

Incorrect Name (as recorded) *

Correct Full Name *

Reason for Difference

Verification Date

EDrafted

AFFIDAVIT FOR NAME CORRECTION IN PASSPORT

I, Miss., S/o ____________, aged about ____________ years, R/o ____________, holding PASSPORT No. ____________, do hereby solemnly affirm and declare as under:

That I am the holder of PASSPORT Card bearing PASSPORT No. ____________.
That my name is incorrectly recorded in my PASSPORT as ____________.
That my correct and full name is ____________.
That both the names “____________” and “____________” refer to one and the same person, i.e., myself.
That the difference in my name occurred due to ____________.
That I request the concerned authority/UIDAI to correct/update my name in PASSPORT from ____________ to ____________.
That I am submitting this affidavit along with the prescribed valid documents as proof in support of my name correction request.
That the contents of this affidavit are true and correct to the best of my knowledge and belief and nothing material has been concealed therefrom.

VERIFICATION

I, Miss., the above-named deponent, do hereby verify that the contents of this affidavit are true and correct to my knowledge and belief.

Verified at ____________ on ____________.

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Get Affidavit for Name Change in Passport for Other States

Affidavit for Name Change in Passport