THE LAKSHADWEEP GAZETTE

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VOL. LX. No. 30 SUNDAY 01^st SEPTEMBER 2024 10^th BHADRA, 1946 (SAKA)

AFFIDAVIT

I UMMUL KULUS. K D/o Kidave koya T. K. and Lathi. K, Aged 48 years, residing at

Kalkandiyoda, Agathi Island, Lakshadweep do hereby solemnly affirm and state as follows.

1. I am the native of Agathi Island, Lakshadweep and residing at Kalkandiyoda, Agathi

Island, Lakshadweep.

2. The passport authority of India were issued a passport bearing No.J2491146

on 28/01/2011 and in the said passport, my name were entered as UMMIL

KULUS KALKANDIYODA. Whereas the Correct spelling of my name is UMMUL

KULUS. K.

3. It is submitted that in the entire records pertains to me shows my name as

UMMUL KULUS. K except in my passport.

4. I swear this affidavit to state that UMMIL KULUS Kalkandiyoda and UMMUL

KULUS. K is one and the same person.

All the facts stated above are true to the best of my knowledge and belief

Dated this the 20^th August 2024.

Sd/-

Deponent

Literate deponent personally known

to me solemnly affirmed and signed

before me at Kavaratti, Lakshadweep

on 20 August 2024.

Sd/-

SALEEM. P.K.

ADVOCATE & NOTARY

ROLL No. K/214-F/08

RAHMATH MANZIL, KAVARATTI

4 LAKSHADWEEP- 682 555

Round Seal

NOTARY GOVT. OF

INDIA

SALEEM. P.K.

Kavaratti, Lakshadweep

REG. No. 17154

Expiry Date: 21/10/2021

THE LAKSHADWEEP GAZETTE

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AFFIDAVIT

I, SHAIJU DAS Y S/o Yesudas, aged 34 years, residing at Undappara Thadatharikathu

Veedu, Thevanpara Tholicode PO, Thiruvananthapuram, Kerala, do hereby solemnly affirm

and state as follows:

1. I have born on 02/03/1990 and my birth place and native is Tholicode,

Thiruvananthapuram, Kerala.

2. I am married to FASILA, D/o Sayedbuhari Baleliyar, Mannathe Chetta house,

Amini Island, Lakshadweep.

3. I have embraced Islam from Christianity and consequently my name has

been changed as MUHAMMED ANSAR and presently living at Amini Island,

Lakshadweep,

4. I am Wholly renounce, relinquish and abandon the use of my former name

of SHAIJU DAS Y and in place thereof do assume from date thereof the

name of MUHAMMED ANSAR and so that I may hereafter be called

know and distinguish but my former name of SHAIJU DAS Y but by

assumed name of MUHAMMED ANSAR.

5. It is found that my name is appearing as SHAIJU DAS Y in some of the

records and documents connected/related to me though by name has been

changed as Muhammed Ansar.

6. I hereby affirm and state that my name is MUHAMMED ANSAR and I do

not wish to call and appear as SHAIJU DAS Y.

7. I am decided to keep my name as MUHAMMED ANSAR in the entire records

and documents related to me.

This Affidavit is sworn for the purpose of changing my name as MUHAMMED

ANSAR in the official and other records related to me.

All the facts stated above are true

Dated this the 14^th August 2024

Sd/-

Signed and delivered by the above.

Named : MUHAMMED ANSAR GENTILAL

Formerly known as : SHAIJU DAS Y

Literate deponent personally known

to me solemnly affirmed and signed

before me at Kavaratti, Lakshadweep

on 14^th August 2024.

Sd/-

SALEEM. P.K.

ADVOCATE & NOTARY

ROLL No. K/214-F/08

RAHMATH MANZIL, KAVARATTI

LAKSHADWEEP- 682 555

Round Seal

NOTARY GOVT. OF INDIA

SALEEM. P.K.

Kavaratti, Lakshadweep

REG. No. 17154

Expiry Date: 21/10/2024

THE LAKSHADWEEP GAZETTE

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No legal Responsibility is accepted for the publication of advertisement regarding

change of 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-1255/09-2024/10