1238
LA GAZETTE DE L’ETAT
[17 December 2013
The detailed procedure is available in the tender notice which can be downloaded along with the NIT from
the website: www.etenders.pwdpondy.in only by those contractors who are having valid ikey and digital signature
certificate.
(i)
Availability of NIT
. . from 10.00 a.m. on 13-11-2013 to 4.00 p.m. on 17-12-2013.
(ii)
Closing time for submission of e-tender . . 19-12-2013 at 3.30 p.m.
(iii)
Date and time of opening of tender
. . 19-12-2013 at 4.00 p.m.
Please contact KEONICS e-tender help desk for guidance in Phone No. 09886720708 (or) 9865370307 (or)
080-40482000.
For enquiry to remittance of earnest money deposit/cost of tender schedule through AXIS Bank, please
contact help desk Phone No. 80986 02092/0413-2227312/0413-2227223.
EXECUTIVE ENGINEER (B&R).
GOVERNMENT OF PUDUCHERRY
TALUK OFFICE
FORM - 5
( Section 27 )
NOTICE OF ATTACHMENT
Notice of attachment to M/s. Annai Industries
Linings (P) Ltd., No. 17, Karasur-Vanur Cross Road,
Sedarapet, Puducherry in the Karasur Revenue Village
of Villianur Taluk, Puducherry.
Take notice that as you have not paid or shown
sufficient cause for the non-payment of ` 21,058
(Rupees twenty-one thousand and fifty-eight only)
with 12% interest per annum, although the said sum
has been duly demanded in writing from you, the
land comprised at R.S. No. 1/7 and 7/5 of Karasur
Revenue Village belongs to you is hereby placed
under attachment towards the gratuity amount
payable to the worker Thiru P. Sivalingam, No. 23,
Mariamman Koil Street, Kathirkamam, Puducherry-9
and that unless the arrear due by you with interest
and other charges be paid within the fifteen days,
the landed property with building and machinery, if
any will be brought to sale in due course of law. You
will further take notice that from the date of this
attachment notice until the date of sale of your land
is hereby attached, you will be held liable for all kists
thereon accruing, and the said kists will be demanded
of, and levied from you as arrears of land revenue.
TAHSILDAR.
Amflºƒˆ ÂÔ´V‚E
g√›>V™ WÆk™∫Ô^
g√›>V™ WÆk™∫Ô^
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c›>´° ºkı|˛≈VÏ.
kˆÁƒ
sıð©√>V´ˆ[
WÆk™D ∂Á\B
c›º>E¬Ô©√‚|^·
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t[ ]≈[
ÿƒFxÁ≈
(1)
(2)
(3)
(4)
(5)
1
ÿƒ_s G. c\V\ºÔ¸kˆ,
M/s. ∂Dx¸ ∂Õ]´V ÿ«Ï√_ ºÔÏ,
ÿ«Ï√_ ÿ>VaÈÔD
1
®ı 9, ∑©´\ËBÏ ºÔVl_ T],
®ı 139, ÁkEBV^ T],
(xÔ©Øfl∑).
z]Á´›
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Amflºƒˆ.
]≈[.
÷ÈV∑©º√‚Á¶,
Amflºƒˆá605 008.
Station : Villianur
Date : 28-11-2013.
1239
17 December 2013]
LA GAZETTE DE L’ETAT
1973ágD gı| Amflºƒˆ ÂÔ´V‚EÔ^ ƒ‚¶›][ JÈ\VF Amflºƒˆ Œ[§B›m g‚E©√´©∏_ ∂xÈV¬Ô©√‚¶
Amflºƒˆ ÂÔ´V‚EÔ^ (cˆ\D �ÆD ∂–\] ∂π›>_) s]Ô^, 1976, ∏ˆ° 8á[√Ω ÷›ÿ>Va_ WÆk™›Á> Wưk]™V_
cı¶VzD g‚ºƒ√ÁðÔ^ ∞º>–D ÷ÚÕ>V_, ∂kuÁ≈ ÷Õ> ∂§s©A ÿkπl¶©√‚¶ º>]loÚÕm √›m ÂV‚Ô”¬z^
Amflºƒˆ ÂÔ´V‚E gÁðBÏ ∂kÏÔ”¬z ®ø›m JÈ\VÔ ÿ>ˆB©√|›mD√Ω ºÔ‚|¬ÿÔV^·©√|˛≈m.
z§©∏‚¶ ÔVÈkÁ´BÁ≈¬z^ ÿ√≈©√‚¶ g‚ºƒ√ÁðÔ^ Amflºƒˆ ÂÔ´V‚EBV_ √ˆÊo¬Ô©√|D.
Amflºƒˆ, 2013 } ÂkD√Ï | 29{,
E.
E.
E.
E.
E. ÷´V¤\VˬÔD,
÷´V¤\VˬÔD,
÷´V¤\VˬÔD,
÷´V¤\VˬÔD,
÷´V¤\VˬÔD,
gÁðBÏ.
————
PUDUCHERRY MUNICIPALITY
Puducherry, the 29th November 2013.
Dangerous Establishments
NOTICE
The undermentioned person has requested for permission to set up an industry within the Puducherry Municipal
limits, as detailed below.
Sl.
Name and address
Address of the
Industry proposed
Power
No.
of the applicant
industry site
required
(1)
(2)
(3)
(4)
(5)
1
Ms. G. Umamaheswari,
M/s. Ammu’s Andhra Herbal Care,
Manufacturing/Activity of
1 H.P.
No. 9, Subramaniar Koil Street,
No. 139, Vysial Street,
herbal product (face pack).
Pethuchettypet,
Puducherry.
Lawspet,
Puducherry-605 008.
In conformity with rule 8 of the Puducherry Municipalities (Grant of Licences and Permissions) Rules, 1976
promulgated in this Union Territory by the Puducherry Municipalities Act, 1973, objections, if any are invited to reach
the Commissioner, Puducherry Municipality within ten days from the date of publication of this notice.
The objections so received within the specified time will be considered by the Puducherry Municipality.
S. RAJAMANICKAM,
Commissioner.
————
cwkÏÔÁ´ ÂÔ´V‚E
g√›>V™ WÆk™∫Ô^
g√›>V™ WÆk™∫Ô^
g√›>V™ WÆk™∫Ô^
g√›>V™ WÆk™∫Ô^
g√›>V™ WÆk™∫Ô^
∂§s©A
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ˇµz§©∏‚|^·kÏÔ^ ∏[kÚD ÿ>Va_ WÆk™∫ÔÁ· cwkÏÔÁ´ ÂÔ´V‚El[ ®_ÁȬz^ ∂Á\›m¬ÿÔV^·
÷ÕÂÔ´V‚El[ Œ©A>_ ºkı|˛≈VÏÔ^.
kˆÁƒ
sıð©√>V´ˆ[
WÆk™D ∂Á\B
c›º>E¬Ô©√‚|^·
º>ÁkBV™
®ı
ÿ√BÏ �ÆD xÔkˆ
c^· ÷¶›][ xÔkˆ
WÆk™› >BVˆ©A/
t[ ]≈[
ÿƒFxÁ≈
(1)
(2)
(3)
(4)
(5)
1
]Ú\] R. c\V \ºÔ¸kˆ,
M/s. ÔVT gÏÔVM¬ √VÏD A´ÿ¶¬‚, gºÈVs´V √_© /
9
®ı 1, ]Ú\ÁÈ ÂÔÏ,
\Á™ ®ı 1, >Á´ >·D,
…¸ / ˛ˆD.
z]Á´›
s_oB˚Ï ÿ\l[ º´V|,
]Ú\ÁÈ >VBVÏ ÂÔÏ,
]≈[.
JÈz·D, Amflºƒˆá10.
JÈz·D, Amflºƒˆá10.
1240
LA GAZETTE DE L’ETAT
[17 December 2013
2
]Ú\] A. ]ÀBV,
M/s. A´ÿ¶ı‚ ˆƒÏfl √VÏxºÈƒ[, ÿ¶ı¶_ Ô[ƒÏºkƒ[
4
®ı 49, s_oB˚Ï ÿ\l[ º´V|,
49, s_oB˚Ï ÿ\l[ º´V|, ÿ\‚ΩˆB_, ®[º¶Vÿ¶V[Ω¬
z]Á´›
√k· ÂÔÏ, ÿ´‚ΩBVÏ√VÁ·BD,
√k· ÂÔÏ, ÿ´‚ΩBVÏ√VÁ·BD,
ÿ\‚ΩˆB_, Aº´Vÿ¶V[Ω¬
]≈[.
Amflºƒˆá10.
Amflºƒˆá10.
ÿ\‚ΩˆB_, gϺ¶V
ÿ¶V[Ω¬ ÿ\‚ΩˆB_,
√VÏ\V ºÔ©Û_¸
�ÆD \V›]Á´Ô^.
3
]Ú\] D.R. ºk>∏ˆBV,
M/s. ∏Á´‚ ∂ı| ∏Á´‚,
ÿ\¬ÔÁ™¸|
16
®ı 200, ÿƒ‚Ω T],
\Æ ∂·Ák ®ı 90/16,
ÈVı¶ˆ.
z]Á´›
Amflºƒˆá1.
T‚| ®ı 51, x>_ T],
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AmƒV´D, Amflºƒˆá13.
4
]Ú\] A. º´bÔV º>s,
M/s. Á« ÿ¶¬ ÿƒVKƒ[ �ÆD
®fi˜MBˆ∫ √VÏ‚¸,
7.5
®ı 88/77, x>_ \VΩ,
ƒÏTƒ¸, \Æ ∂·Ák ®ı 10/12,
˜¬ �ÆD ∏¬ƒÏ¸,
z]Á´›
kø>V∆Ï º´V|, s.s.∏. ÂÔÏ,
\VˆBD\[ ºÔVl_ T],
˘_¸ �ÆD ÔV¤¸
]≈[.
Amflºƒˆá605 009.
nB∫z‚Ω√VÁ·BD,
>BVˆ›>_.
Amflºƒˆ.
5
]Ú\] ÷·kw˛,
M/s. SBM ®[¶Ï∏Á´ƒ¸,
]™ƒˆ U‚ ÔVÈı¶Ï º√VÏ|,
4.5
Ô>° ®ı 17, \Á™ ®ı 298,
®ı 17, 9km zƬz,
Á√_ º√‚ �ÆD √V¬¸ Á√_,
z]Á´›
9ákm zƬz, ∂[Á™ ÷Õ]´V T], ∂[Á™ ÷Õ]´V T],
g∏¸ Á√_, ®¬vVD º√‚,
]≈[.
z§fiE ÂÔÏ, Amflºƒˆá605 008. z§fiE ÂÔÏ, Amflºƒˆá605 008. ÷[sº¶≠[ ÔVÏ| �ÆD
¤V© ŒÏ¬ ÷[ ¸˛ˆ[
∏ˆıΩ∫.
1973ágD gı| Amflºƒˆ ÂÔ´V‚EÔ^ ƒ‚¶›][ JÈ\VF Amflºƒˆ Œ[§B›m g‚E©√´©∏_ ∂xÈV¬Ô©√‚¶
Amflºƒˆ ÂÔ´V‚EÔ^ (cˆ\D �ÆD ∂–\] ∂π›>_) s]Ô^, 1976, ∏ˆ° 8á[√Ω ÷›ÿ>Va_ WÆk™∫ÔÁ·
Wưk]™V_ cı¶VzD g‚ºƒ√ÁðÔ^ ∞º>–D ÷ÚÕ>V_, ∂kuÁ≈ ÷Õ> ∂§s©A ÿkπBV™ º>]loÚÕm
√›m ÂV‚Ô”¬z^ cwkÏÔÁ´ ÂÔ´V‚E gÁðBÏ ∂kÏÔ”¬z ®ø›m JÈ\VF ÿ>ˆB©√|›mD√Ω ºÔ‚|¬ÿÔV^·©√|˛≈m.
z§©∏‚¶ ÔVÈkÁ´BÁ≈¬z^ ÿ√≈©√‚¶ g‚ºƒ√ÁðÔ^ cwkÏÔÁ´ ÂÔ´V‚EBV_ √ˆÊo¬Ô©√|D.
¤kÔÏ ÂÔÏ, 2013 } ΩƒD√Ï | 5 {,
gÁðBÏ.
gÁðBÏ.
gÁðBÏ.
gÁðBÏ.
gÁðBÏ.
————
OULGARET MUNICIPALITY
Jawahar Nagar, the 5th December 2013.
Dangerous Establishments
NOTICE
Notice is hereby given to the inhabitants of Oulgaret Municipality that the undermentioned persons have
requested permission from this Municipality to set up the following industries in the places shown against their
names in column (3) within this Municipal limit.
Sl.
Name and address
Address of the
Industry
Power
No.
of the applicant
industry site
proposed
required
(1)
(2)
(3)
(4)
(5)
1
Tmt. R. Uma Mageswari,
M/s. Kaavee Organic Farm and
Aloevera pulp / Juice /
9 H.P.
No. 1, Thirumalai Nagar,
Product,
Cream.
Villianur Main Road,
Plot No. 1, Ground Floor,
Moolakulam, Puducherry-10.
Thirumalai Thayar Nagar,
Moolakulam, Puducherry-10.
(1)
(2)
(3)
(4)
(5)
1241
17 December 2013]
LA GAZETTE DE L’ETAT
2
Tmt. A. Divya,
M/s. Prodent Research Formulation, Dental Conservative
4 H.P.
No. 49, Villianur Main Road,
No. 49, Villianur Main Road,
materials, endodontic
Pavazha Nagar,
Pavazha Nagar,
materials, prothodontic
Reddiyarpalayam,
Reddiyarpalayam,
materials, orthodontic
Puducherry-10.
Puducherry-10.
materials, pharma
capsules and tablets
3
Tmt. D.R. Vedapriya,
M/s. Bright and Bright,
Mechanised laundry
16 H.P.
N o . 200, Chetty Street,
R.S. No. 90/16, Door No. 51,
Puducherry-1.
First Street, New Saram,
Puducherry-13.
4
Tmt. A. Renuka Devi,
M/s. Hi Tec Solutions and Services,
Manufacturing of engineering
7.5 H.P.
No. 88/77, First Floor,
Re-survey No. 10/12,
parts, jig and fixtures, tools
Vazhudhavur Road,
Mariamman Koil Street,
and gauges.
V.V.P. Nagar,
Iyankuttipalayam,
Puducherry-605 009.
Puducherry.
5
Tmt. Ilavazhagi,
M/s. SBM Enterprises,
Daily sheet calendar board,
4.5 H.P.
Door No. 17, Plot No. 298,
No. 17, 9th Cross,
file pad, box file, office file,
9th Cross, Annai Indira Street,
Annai Indira Street,
exam pad, invitation cards and
Kurinji Nagar, Puducherry-605 008.
Kurinji Nagar, Puducherry-605 008.
job work in screen printing.
In conformity with rule 8 of the Puducherry Municipalities (Grant of Licences and Permissions)
Rules, 1976, promulgated in this Union Territory by the Puducherry Municipalities Act, 1973, objections, if any,
to the setting up of the above industries are invited to reach the Commissioner, Oulgaret Municipality within ten days from
the date of publication of this notice in the official gazette.
The objections so received within the specified time will be considered by the Oulgaret Municipality.
COMMISSIONER.
————
√VÌÏ ÿÔVDR[ √fiƒVB›m
g√›>V™ WÆk™∫Ô^
g√›>V™ WÆk™∫Ô^
g√›>V™ WÆk™∫Ô^
g√›>V™ WÆk™∫Ô^
g√›>V™ WÆk™∫Ô^
∂§s©A
ˇµÔı¶ Â√ÏÔ^ √VÌÏ ÿÔVDR[ √fiƒVB›m ®_ÁȬz^ ∏[kÚD ÿ>Va_ WÆk™∫ÔÁ· ∂Á\›m¬ÿÔV^·
÷¬ÿÔVDR[ √fiƒVB›][ c›>´° ºkı|˛≈VÏÔ^.
kˆÁƒ
sıð©√>V´ˆ[
WÆk™D ∂Á\B
c›º>E¬Ô©√‚|^·
º>ÁkBV™
g‚Ôπ[
®ı
ÿ√BÏ �ÆD xÔkˆ
c^· ÷¶›][ xÔkˆ
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t[ ]≈[
®ıˬÁÔ
ÿƒFxÁ≈
(1)
(2)
(3)
(4)
(5)
(6)
1
]Ú\] S. \fi∑ √VÏÔs
M/s. ∞.®¸.gÏ. ÷ı¶¸‚Z¸,
º´V‚¶ˆ gl_
120
18
(cˆÁ\BV·Ï),
\Æ ∂·Ák ®ıÔ^ 87/5A
®¬¸ÿ√_ÈÏ JÈD
z]Á´›
®ı 25/A, c©√·kVΩ ÿ\l[
�ÆD 6 �ÆD 91/1,
®Ω∏^ gl_
]≈[.
º´V|, \fiƒz©√D,
‘´_ ÷ı¶¸‚ˆB_ ®¸º¶‚,
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Ô¶ŸÏ.
ÔV‚|¬z©√D, √VÌÏ ÿÔVDR[.
2
]Ú. M. º¤V] ´V\o∫ÔD
M/s. \VÚ] ∏·V¸Ω¬¸,
Aº·V º\V_¶|
30
6
(cˆÁ\BV·Ï),
\Æ ∂·Ák ®ı 115/2,
∏·V¸Ω¬ �ÆD
z]Á´›
®ı 44, ƒ´¸k] ÂÔÏ,
kVϬÔV_ {Á¶ T],
º√¬˛∫ o¬R|
]≈[.
]Ú©√V]ˆ©AoRÏ, Ô¶ŸÏ.
ÔV‚|¬z©√D,
√°¶Ï ´Ô∫Ô^
√VÌÏ ÿÔVDR[.
>BVˆ›>_.
(1)
(2)
(3)
(4)
(5)
1242
LA GAZETTE DE L’ETAT
[17 December 2013
(1)
(2)
(3)
(4)
(5)
(6)
3
]Ú. K. ∑>VÔÏ
M/s. \VBV √Vo\ϸ,
∏∏, ®_Ω∏÷, ®fl®D,
22
4
(cˆÁ\BV·Ï),
\Æ ∂·Ák ®ı 53/1,
®flΩ∏÷ º√¬¸
z]Á´›
®ı 9, ´V¤V T],
cflEº\| º´V|,
�ÆD º´V_¸
]≈[.
N.G.O. ÂÔÏ,
\]˛ÚiðVA´D,
>BVˆ›>_.
zı| c©√·kVΩ, Ô¶ŸÏ.
√VÌÏ ÿÔVDR[.
1973ágD gı| Amflºƒˆ ˛´V\D �ÆD ÿÔVDR[ √fiƒVB›m¬Ô^ ƒ‚¶›][ JÈ\VF Amflºƒˆ Œ[§B›m
g‚E©√´©∏_ ∂xÈV¬Ô©√‚¶ Amflºƒˆ ÿÔVDR[ √fiƒVB›m¬Ô^ (cˆ\D �ÆD ∂–\] ∂π›>_) s]Ô^, 1976,
∏ˆ° 11á[√Ω ÷›ÿ>Va_ WÆk™∫ÔÁ· Wưk]™V_ cı¶VzD g‚ºƒ√ÁðÔ^ ∞º>–D ÷ÚÕ>V_, ∂kuÁ≈
÷Õ> ∂§s©A ÿkπBV™ º>]loÚÕm √]Á™Õm ÂV‚Ô”¬z^ √VÌÏ ÿÔVDR[ √fiƒVB›m gÁðBÏ ∂kÏÔ”¬z
®ø›m JÈ\VF ÿ>ˆB©√|›mD√Ω ºÔ‚|¬ÿÔV^·©√|˛≈m.
z§©∏‚¶ ÔVÈkÁ´BÁ≈¬z^ ÿ√≈©√‚¶ g‚ºƒ√ÁðÔ^ ÷¬ÿÔVDR[ √fiƒVB›m JÈ\VÔ √ˆÊo¬Ô©√|D.
√VÌÏ, 2013 } ÂkD√Ï | 27 {,
S. x›mo∫ÔD,
x›mo∫ÔD,
x›mo∫ÔD,
x›mo∫ÔD,
x›mo∫ÔD,
gÁðBÏ.
————
BAHOUR COMMUNE PANCHAYAT
Bahour, the 27th November 2013.
Dangerous Establishments
NOTICE
The undermentioned persons have requested for permission to set up the following industries within the
Bahour Commune Panchayat limits as detailed below :
Sl.
Name and address
Address of the
Industry
Power
No. of
No.
of the applicant
industry site
proposed
required
workers
(1)
(2)
(3)
(4)
(5)
(6)
1
Tmt. A. Manju Parkavi
M/s. ASR Industries,
Manufacturing of
120 H.P.
18
(Proprietrix),
Re-survey Nos. 87/5A
edible oil by rotary
No. 25A, Upplavadi Main Road, and 6 and 91/1,
oil expeller.
Manjakuppam, Cuddalore.
Rural Industrial Estate,
Kattukuppam,
Bahour Commune.
2
Thiru M. Jothi Ramalingam
M/s. Maruthi Plastics,
Manufacturing of
30 H.P.
6
(Proprietor),
Re-survey No. 115/2,
blow moulded
No. 44, Sarasvathy Nagar,
Varkalodai Road,
plastic containers
Thirupathripuliyur,
Kattukuppam,
for packing liquid/
Cuddalore.
Bahour Commune.
powder items.
3
Thiru K. Sudhagar
M/s. Maya Polymers,
Manufacturing of
22 H.P.
4
(Proprietor),
Re-survey No. 53/1
PP, LDPE, HM,
No. 9, Raja Street,
Utchimedu Road,
HDPE bags and
N.G.O. Nagar,
Mathikrishnapuram,
rolls.
Gundu Uppalavadi,
Bahour Commune.
Cuddalore.
1243
17 December 2013]
LA GAZETTE DE L’ETAT
.
In conformity with rule 11 of the Puducherry Commune Panchayats (Grant of Licences and Permissions)
Rules, 1976, promulgated in this Union Territory by the Puducherry Village and Commune Panchayats Act, 1973,
objections, if any, to the setting up of the above industries are invited to reach the Commissioner, Bahour
Commune Panchayat within fifteen days from the date of publication of this notice in the official gazette.
The objections so received within the specified period will be considered by the Commune Panchayat.
S. MOUTTOULINGAM,
Commissioner.
CHANGE OF NAME
I , Tamilselvi, daughter o f Packirisamy, residing at
No. 12, Pon Nagar Colony, Nedungadu, Karaikal,
Puducherry Union Territory, do hereby solemnly and
sincerely affirm and state that:
I am the deponent herein.
I hereby state that the correct spelling of my name
is ‘Tamilselvi’ and the same is evidenced in my
Birth Certificate vide Registration No. N/1985/00194
issued by Registrar of Births and Deaths,
Nedungadu Commune Panchayat, Government of
Puducherry.
And also the same name is evidenced in our
Family Ration Card No. 416230 issued by the
Department of Civil Supplies and Consumer Affairs,
Karaikal.
I also state that my different spelling of my name
is ‘Thamizh Selvi’ and the same is evidenced in my
Secondary School Leaving Certificate vide Register
No. 782133 (Duplicate) issued by State Board of
School Examinations, Tamil Nadu. And the same
different spelling is evidenced in my Transfer
Certificate No. 81349/69663 issued by Government
High School, Kurumbagaram, Karaikal.
And also the same name is evidenced in my
Electoral Identity Card No. LLS0213504 issued by
Electoral Registration Officer, Nedungadu Assembly
Constituency, Karaikal.
I hereby state that I am making this affidavit for the
proof of my name i.e. ‘Tamilselvi’ and ‘Thamizh Selvi’ are
one and the same referring one person, i.e. myself only.
The abovesaid information are true and correct to
the best of my knowledge and belief.
Solemnly affirmed and signed before the Notary Public
at Puducherry, on this 19th day of November 2013.
653250
P. TAMIZHI SELVI.
CHANGE OF NAME
I , Ananthakumari, wife o f P. Nandagobal, residing
at No. 8, 1st Cross Street, Bharathidasan Nagar,
Kovilpathu, Karaikal District, Union territory of
Puducherry, do hereby solemnly affirm and sincerely
state on oath as follows:
1. I am known and referred by two names, namely
‘Ananthakumari’ and ‘Anandi’.
2. That in my educational records, my name was
stated as ‘Ananthakumari’ and in my Family Ration
Card vide No. K-000251, my name was stated a
‘Anandi’.
3. That I hereby abandon the name ‘Anandi’ and
henceforth I will be known and referred as
‘Ananthakumari’ in all my future acts and deeds.
Solemnly affirmed and signed before the Notary Public
at Karaikal, on this 29th day of November 2013.
653304
ANANTHAKUMARI.
————
CHANGE OF NAME
I , Nandagobal, son o f Ponnuswamy, residing at
No. 8, 1st Cross Street, Bharathidasan Nagar,
Kovilpathu, Karaikal, do hereby solemnly affirm and
sincerely state on oath as follows:
1. That my minor daughter ‘Niveditha’ who was
born on 25-5-1999 is known by two names, namely
‘Niveditha’ and ‘Pooja’.
2. That in her birth entry, her name was mentioned
as ‘Niveditha’. In my Family Ration Card vide
No. K-000251, her name was mentioned as ‘Pooja’.
3. That I hereby abandon her name ‘Pooja’ and
henceforth my minor daughter be known and referred
only by ‘Niveditha’ in her all future acts and deeds.
Solemnly affirmed and signed before the Notary Public
at Karaikal, on this 29th day of November 2013.
653305
NANDAGOBAL.