That I am the deponent herein and I am well acquainted with the facts herein and I am the resident of Puducherry having my residence at the abovesaid address.
That I am originally named as 'Selvaraj' and the same is evidenced in my Birth Certificate duly registered at Puducherry Municipality vide Registration No. P/1978/09478, dated 29-12-1978, in my Aadhaar Card bearing No. 6848 7496 0790 issued by the Unique Identification Authority of India, Government of India, in my Electoral Identity Card bearing No. FBN0277533 issued by the Election Commission of India, as well as in my Family Ration Card bearing Serial No. 168316 issued by the Department of Civil Supplies and Consumer Affairs, Government of Puducherry.
CHANGE OF NAME
I, N. Marimuthu, daughter of D. Nadesan, wife of D. Manohar, aged about 30 years, residing at No. 42, Main Road, M. Kutchipalayam, Kariyamanikkam Post, Puducherry–605 106, do hereby solemnly and sincerely affirm and state as follows:
I am the deponent herein and I am well acquainted with the facts of my deposition.
I submit that my present name is 'N. Marimuthu'.
I submit that I have been advised on numerological basis to call and change my name as N. Tamilselvi' instead of 'N. Marimuthu'.
H e n c e f o r t h , I wo u l d b e c a l l e d a n d k n o wn as 'N. Tamilselvi' only.
I take oath and solemnly declare that the above information furnished by me is correct and that I have not concealed or misrepresented any facts on the above matter.
Signed before the Notary Public at Puducherry, on this 8th day of May 2015.
798474 N. MARIMUTHU.
GOVERNMENT OF PUDUCHERRY HEALTH SECRETARIAT
That I was also used to call and addressed by my parents, family members close relatives, friends and all other persons in my native place as 'Selvam' which is my calling-name and the same name of 'Selvam' is also registered in the Birth Certificate of my son Giritharan who was born to my wife Vanitha on 13-6-2009 at Government Primary Health Centre, P.S. Palayam, his birth is duly registered at Villupuram Taluk Office, Villupuram vide Registration No. 54, dated 16-6-2009.
(G.O. Ms. No. 36, dated 29th April 2015)
That in this connection, I hereby declare that my names mentioned in my abovesaid records as 'Selavaraj' and in my son 'Giritharan's Birth Certificate as 'Selvam' are belong and refer to myself only and not any other person.
The above deposition is true and correct to the best of my knowledge and belief, and nothing materials has been concealed thereon.
Solemnly affirmed and signed before the Notary Public at Puducherry, on this 28th day of April 2015.
798459 P. SELVARAJ
ADDENDUM
In the G.O. Ms. No. 71, dated 29-10-2014 of Health Secretariat, Puducherry, the following shall be added under para 3 as Sl. No. 11.
11. Chairperson, Union territory of . . Member P u d u ch er r y Co mmis si o n fo r Protection of Child Rights.
(By order)
V. JEEVA, Under Secretary to Government (Health).
No leg a l r es p on s i b i li t y i s a c c ep t e d for t h e p u b li c a t i on of a d ve rt i s em en t rega rd i n g c h a n ge of n a m es a n d ot h er p r i va t e n oti fi ca t i ons i n t h e Ga zet t e. P erson s not i fyi n g t h e s a m e wi ll rem ai n solely resp on s ib le for th e lega l c on seq u enc es a n d a ls o for a ny oth er m is repres ent at ions etc .