VOL. LIX. No. 32 WEDNESDAY, 1st NOVEMBER, 2023/10th KARTHIKA, 1945 (SAKA)
I N D E X
Part Page
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AFFIDAVIT
I, MOHAMMED ZIYAD PC, Aged 41 years, S/o Shri. Nallakoya Paliyathiyoda, permanent resident of Peechattiyoda House, Kiltan Island -682558, Lakshadweep do hereby solemnly affirm and declare as under:
1. I am a native of Kiltan Island, Union Territory of Lakshadweep.
2. I born on 04/07/1982 and my place of Birth is Kiltan Island.
3. It is found that my name is shown as MOHAMMED ZIYAD PC in Aadhaar Card and as MUHAMMED ZIYAD PC in PAN card.
4. I hereby affirm and state that my original name is MOHAMMED ZIYAD P C and I do not wish to call and appear as MUHAMMED ZIYAD PC. 5. It is also found that last name of my father is shown as PEECHATTIYODA instead of his original last name as PALIYATHIYODA in my PAN Card.
6. I hereby affirm and state that last name of my father is PALIYATHIYODA and I do not wish to enter and appear my father's last name in records and documents connected to me as PEECHATTIYODA.
7. I resolute to keep my name as MOHAMMED ZIYAD PC in the entire records and documents related to me.
8. This affidavit is made solely for the purpose to declare and changing my name as MOHAMMED ZIYAD PC in the official and other records related to me.
PRICE : 75 PAISE
THE LAKSHADWEEP GAZETTE 2CORRECT NAME
MOHAMMED ZIYAD PC
9. All the above statements are true and correct statement. Sd/- Deponent Verification
Verified at 6th day of October, 2023 that the contents of the above said affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein.
Sd/- Deponent Round Seal
EXECUTED & SIGNED IN MY PRESENCE On 06/10/2023 At Kavaratti ATTESTED
Sd/-
C. N. NOORUL HIDAYA
Advocate & Notary Government of India, Area : Lakshadweep Reg. No : 17155, Expiry - Date: 22/10/2024
AFFIDAVIT
I SAYYID MOHAMMED ZAHEER HUSSAIN, aged 41 years D/o Late Shri. sayyid Mohamed Koya Thangal, a permanent resident of Kandangalam House, Kavaratti Island, Lakshadweep – 682555 do hereby solemnly affirm and state as follows:-
1. That I am a citizen of India.
2. I hereby declare that my name is SAYYID MOHAMMED ZAHEER HUSSAIN and my house name is KANDANGALAM.
3. That my name mentioned in Passport No. H6479520 is SAYYID MOHAMED ZAHEER HUSSAIN and my house name mentioned in Passport H6479520 is KANDAMGALAM.
4. But my name mentioned in Aadhaar Card [6430 2477 6723] is SAYYID MOHAMMED ZAHEER HUSSAIN and my house name mentioned in Aadhaar Card [6430 2477 6723] is KANDANGALAM.
5. That I hereby declare that my name and house name mentioned in Passport No. H6479520 is wrong and I want to continue to be known as whatever details which is mentioned in my Aadhaar Card in regard to my Aadhaar Card in regard to my name and house name.
THE LAKSHADWEEP GAZETTE 38. This is my true and correct statement.
Sd/-
Deponent
Verification
The above named deponent do hereby solemnly affirm and declare that the above statement is true and correct statement to the best of my knowledge, belief and nothing has been concealed therefrom.
Sd/- Deponent I hereby declare and affirm that I have not concealed anything and hereby stated are true Dated this the 23rd day of October, 2023.
Sd/- Deponent Round Seal
EXECUTED & SIGNED IN MY PRESENCE On 23/10/2023 At Kavaratti ATTESTED
Sd/- C. N. NOORUL HIDAYA ADVOCATE & NOTARY GOVERNMENT OF INDIA, Area : Lakshadweep Reg. No : 17155, Expiry - Date: 22/10/2024
AFFIDAVIT I Ahamed A S/o Kidave AC, aged 55 years, residing at Achada House, Amini lsland, Union Territory of Lakshadweep - 682552, Aadhaar No. 2500 3637 3289 do hereby solemnly affirm and state as follows that my present name in Passport Number L 1540859 Dated.15.07.2013 is as Ahammed Achada and Date of Birth given 30.03.1968, both name and date of birth are wrong in Passport. My Correct name is Ahamed A and my correct date of birth is 01.04.1968.
I further affirm and state that I am decided to keep my name as AHAMED A in the entire records and documents pertains to me.
All the facts stated above are true
Round Seal
Signed on this 23rd day of October, 2023. Sd/-
AHAMED. A
Literate deponent personally known to me solemnly affirmed and signed before me at Kavaratti, Lakshadweep on 23 October 2023.
Sd/- SALEEM. P.K. ADVOCATE & NOTARY ROLL No. K/214-F/08 RAHMATH MANZIL, KAVARATTI LAKSHADWEEP- 682 555THE LAKSHADWEEP GAZETTE 4
DEED OF CHANGING NAME/ SURNAME
By this need I Razzena Mohmmed Arif now lately called Razeena PT D/o Abdul Kader B, aged 43 years, residing at Puthiyath Thanka Mahal, Androth Island, Lakshadweep, Pin - 682551 Lakshadweep do hereby solemnly affirm and state as follows.
1. Wholly renounce, relinquish and abandon the use of my former name of Razeena PT and in place thereof do assume from date thereof the name of Razzena Mohmmad Arif and so that I may thereafter be called know distinguish but my former name of Razeena P T but by assumed name of Razzena Mohmmad Arif. 2. For the purpose of evidencing such my determination declare that I shall at all times hereafter in all records, deeds and writing and in all proceedings, dealings and transaction private as well as public and upon all occasions whatsoever use and sign the name of Razzena Mohmmad Arif as my name in place of and in Substitution for my former name of Razeena PT.
3. Expressly authorize and request all person at all time hereafter top
designate and address me by such assumed name of Razzena Mohmmad
Arif accordingly.
In witness whereof I have hereunto subscribed my former and adopted names of Razeena PT and Razzena Mohmmad Arif and affixed my seal this the 6th Day of October 2023.
Named: Razzena Mohmmad Arif
Formerly known as: Razeena PT
EXECUTED & SIGNED IN MY PRESENCE On 06/10/2023 At Kavaratti Sd/- ATTESTED Razzena Mohmmad Arif Round Seal
Sd/- SALEEM. P.K. ADVOCATE & NOTARY ROLL No. K/214-F/08 RAHMATH MANZIL, KAVARATTI LAKSHADWEEP- 682 555THE LAKSHADWEEP GAZETTE 5
AFFIDAVIT
I Razeena PT D/o Abdul Kader B, aged 43 years, residing at Puthiyath Thanka Mahal, Androth Island , Lakshadweep, Pin- 682551 Lakshadweep do hereby solemnly affirm and state as follows.
1. I am native of Androth Island , Lakshadweep.
2. I have born on 05/06/1980 and my birth place is Androth Island , Lakshadweep.
3. My name is appearing as Razeena P T in the entire records and documents connected/related to me and whereas after marriage my name has been changed as Razzena Mohmmad Arif and I am known and representing by the new name as Razzena Mohmmad Arif.
4. I hereby affirm and state that I am decided to keep my name as Razzena Mohmmad Arif in the entire records and documents related to me and I do not wish to call and appear as Razeena PT
5. This Affidavit is sworn for the purpose of changing my name as Razzena Mohmmad Arif in the official and other records related to me.
CORRECT NAME
Razzena Mohmmad Arif
What is stated above is true to the best of my information and belief.
Sd/- Deponent Literate deponent personally known to me solemnly affirmed and signed before me at Kavaratti, Lakshadweep on 06 October 2023.
Round Seal
Sd/- SALEEM. P.K. ADVOCATE & NOTARY ROLL No. K/214-F/08 RAHMATH MANZIL, KAVARATTI
LAKSHADWEEP- 682 555
No legal Responsibility is accepted for the publication of advertisement regarding change of my names and other private notifications in the Gazette. Person notifying the same will remain solemnly responsible for the legal consequence and also for any other representations etc.
/ Approved /
Sd/-
DIRECTOR Printing & Stationery.
LGP.Kvt.K-1676/11-2023/20