THE LAKSHADWEEP GAZETTE

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PRICE : 75 PAISE

VOL. LIX. No. 32 WEDNESDAY, 1^stNOVEMBER, 2023/10^thKARTHIKA, 1945 (SAKA)

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:

I am a native of Kiltan Island, Union Territory of Lakshadweep.

I born on 04/07/1982 and my place of Birth is Kiltan Island.

It is found that my name is shown as MOHAMMED ZIYAD PC in

Aadhaar Card and as MUHAMMED ZIYAD PC in PAN card.

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.

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.

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.

I resolute to keep my name as MOHAMMED ZIYAD PC in the entire records

and documents related to me.

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.

THE LAKSHADWEEP GAZETTE

Round Seal

CORRECT NAME

MOHAMMED ZIYAD PC

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

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:-

That I am a citizen of India.

I hereby declare that my name is SAYYID MOHAMMED ZAHEER HUSSAIN

and my house name is KANDANGALAM.

That my name mentioned in Passport No. H6479520 is SAYYID MOHAMED

ZAHEER HUSSAIN and my house name mentioned in Passport H6479520

is KANDAMGALAM.

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.

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.

That my real name is SAYYID MOHAMMED ZAHEER HUSSAIN and my

house name is KANDANGALAM.

I continue to follow my name as SAYYID MOHAMMED ZAHEER HUSSAIN

and my house name as KANDANGALAM further.

THE LAKSHADWEEP GAZETTE

Round Seal

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

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

Signed on this 23^rd 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- 682 555

THE LAKSHADWEEP GAZETTE

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

Sd/-

SALEEM. P.K.

ADVOCATE & NOTARY

ROLL No. K/214-F/08

RAHMATH MANZIL, KAVARATTI

LAKSHADWEEP- 682 555

Round Seal

THE LAKSHADWEEP GAZETTE

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

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.

Sd/-

SALEEM. P.K.

ADVOCATE & NOTARY

ROLL No. K/214-F/08

RAHMATH MANZIL, KAVARATTI

LAKSHADWEEP- 682 555

Round Seal