AFFIDAVIT
I, Munawar Basha, Muslim, aged 45 years old, residing a t N o . 4 , D ev a n eya n S t r e et , P a k k amu d aya n p e t , Puducherry, do hereby solemnly affirm and sincerely state as follows:
I am the deponent herein and I know all the facts of my deposition.
I depose that my male child was born on 22-4-2002 and his birth was registered before the Puducherry Municipality under Registration No.C/2002/00955, dated 29-4-2002 in that Birth Certificate, the child's name is mentioned as 'Mohamed Shabbeer @ Mohamed Javeed Basha'.
Further, I depose that in my son's Aadhaar Card under No. 5431 5798 7958, his name is entered as 'Mohamed Javeed Basha'. In my Family Ration Card No. 070872 issued by the Department of Civil Supplies and Consumer Affairs, Puducherry, my son's name is written as '↔↔ (Mohamed Javeed Basha)'. The name registered in Primrose School in Oulgrate, Puducherry is Mohamed Javeed Basha'. So, the names 'Mohamed Shabbeer @ Mohamed Javeed Basha' are refer to one and the same person o f my s o n o n l y. H e r e a ft e r, h e wi l l b e c a l l e d as 'Mohamed Javeed Basha' only.
I have not concealed any material facts.
Solemnly and sincerely affirmed and signed before the Notary Public at Puducherry, on this 8th day of November 2016.
998419 MUNAWAR BASHA. ———— CHANGE OF NAME
I, Vimalarany, daughter of Nagalingame and wife of Hasan Nazar, Indian, aged 50 years, residing at No.47, Crescent Nagar, FM Radio Station Backside, Kamaraj Salai Extension, Karaikal Town and District Munsifi, do hereby solemnly affirm and state on oath as follows:
I am the deponent herein. I state that as per my Birth Certificate registered under Registration No. 128/1966, in the Karaikal Municipality, my name is 'Vimalarany'.
Further, I state that I have converted myself from Hindu religion to Islam religion on 9-12-1999 and assumed the name 'Ayisha Siddiqa'.
Further, I state that in my Elector's Photo Identity Card under No. PY/01/023/069344, Passport under No. K6164972, Aadhaar Card under No. 5958 9405 6844, my name has been mentioned as 'Ayisha Siddiqa'.
In my Family Ration Card under No. 211150, my name has been mentioned as ''.
Therefore, I do hereby state that the said names 'Vimalarany, Ayisha Siddiqa' and '' are refer, identify and relate to one and the same person that is myself the deponent herein. I state that hereafter, I shall be known and identified by the name 'Ayisha Siddiqa ( )' only for all purposes.
I state that what are all stated in the above p a r a g r a p h s i s t r u e a n d c o r r e c t t o t h e b e s t o f my knowledge, belief and information.
S olemnly and sincerely affirmed and si g n e d b e f o r e t h e Notary Public at Puducherry, on this 14th day of November 2016.
998423 N. VIMALA RANY.
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AFFIDAVIT
I, Nithasha Saffeer, wife of Saffeer Mottammal, aged 25 years, residing at No. 7/275, Zara, P.O. Paral, C he mb r a , C ha l ak k ar a , M a he , P u d u c he r r y St a te , do hereby solemnly affirm and state as follows:
(1) I swear and state that I am the holder of Passport No. K 8889785 issued by the Passport Office, Kozhikode, my name is entered as 'Nithasha' and the surname 'Saffeer'.
(2) I swear and state that I am the holder of Family Ration Card vide No. 8549 issued by the Department of Civil Supplies and Consumer Affairs, Mahe, my name is entered as 'Nithasha. P.P.' (in Malayalam).
(3) In my Secondary School Leaving Certificate issued by the Central Board of Secondary Education, Delhi vide Roll No. 4151022, my name is entered as 'Nithasha.P.P.'
(4) In my Higher Secondary Examination Certificate issued by the Board of Higher Secondary Examination, Government of Kerala vide Register No. 5358534, my name is entered as 'Nithasha. P.P.'. (5) In my Birth Certificate issued by the Thalassery M u n i c i p a l i t y v i d e R e g i s t r a t i o n N o . 1 2 6 7 / 9 1 , i n m y B i r t h C e r t i f i c a t e , m y n a m e i s e n t e r e d a s 'P.P. N it ha sh a' .
(6) I swear and state that I intent to change my name as 'Nithasha Saffeer'. Therefore, I swear this affidavit for the knowledge of my relatives, friends, officials concerned and others that hereinafter, I will be known only as 'Nithasha Saffeer' in all purpose.
All the abovesaid facts are true.
Solemnly affirmed and signed before the Notary Public at Mahe, on this 28th day of October 2016.
998431 S. NITHASHA SAFFEER.
29 November 2016] LA GAZETTE DE L'ETAT
AFFIDAVIT
I, @ Nasurudheen, son of Abdul Rahman, Muslim, Indian, aged 24 years, resid ing at No. 12, An b u N a g a r, K o v i l p a t h u , K a r a i k a l a n d Di s t r i c t , do hereby solemnly affirm and sincerely state as follows:
1. That my correct name with spelling is 'Nasurudheen' which is mentioned in my Birth Certificate issued by the Karaikal Municipality vide Registration No. K/1992/03307, my name 'Nasurudeen' is mentioned in my Voter's Identity Card vide No. UDJ0030759 issued by the Election Commission of India. I n my Aadhaar Card vide No. 9364 3508 2004, my name is mentioned as 'Nasrudeen, A.'.
2. I am also known, called and referred as ' ' which is mentioned in my Family Ration Card issued by the Department of Civil Supplies and Consumer Affairs, Karaikal vide No. 441061.
3. Therefore, I do hereby declare that the names viz., '', 'Nasurudheen', 'Nasrudeen, A.' and 'Nasurudeen' are referring one and the same person.
Solemnly affirmed and signed before the Notary Public at Karaikal, on this 14th day of November 2016.
998432 A. NASURUDHEEN.
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AFFIDAVIT
I, Aroumougame @ Aroumugame, son of Periandy, Hindu, aged about 50 years and residing at No. 576, Bharathi Street, Puducherry-605 001, do hereby solemnly affirm and sincerely state as follows:
That I am the deponent herein.
I state that my name is 'Aroumougame' and the said name is found in my Birth Certificate, S.S.L.C. Mark Certificate, India Driving Licence, Aadhaar Card and in my Electoral Identity Card respectively.
Further, I state that my name is spelt as 'Aroumugame' in my Degree of Master of Technology in Structural Engineering, in Statement of Grades in Degree of Master of Business Administration and in my Diploma of Civil Engineering respectively.
I do hereby declare that both the names 'Aroumougame' and 'Aroumugame' are refer to one and the same person i.e., myself.
I made this affidavit in lieu proof of my name's identity.
I do hereby declare that what are all stated above is true to the best of my knowledge, belief and information and nothing material has been concealed therein.
Solemnly affirmed and signed before the Notary Public at Puducherry, on this 7th day of November 2016.
998433 AROUMOUGAME
917
AFFIDAVIT
I, L. Chitradevi, wife of Lalbahadur, Indian, aged 45 years presently residing at No. 69, Nallathur Salai, Kurumbagaram, Nedungadu, Karaikal Town and District Munsifi, do hereby solemnly affirm and oath as follows:
1. My son 'Barath's' birth was registered with Tambaram Municipality in Registration No. 2/1999, d a t e d 4 - 1 - 1 9 9 9 , h i s n a m e h a s b e e n e n t e r e d as 'Barath'.
2. In my son 'Barath's' Transfer Certificate issued by Thanthai Periyar Government Higher S e c o n d a r y S c h o o l , K a r a i k a l wi t h A d m i s s i o n No. 6599, his name is entered as 'Barath. L. 3. In my Family Ration Card issued by the Department of Civil Supplies and Consumer Affairs, Karaikal vide Card No. 459088, my son's name is entered as ''.
4. In my son's Aadhaar Card with No. 3401 1585 8176 issued by the Unique Identification Authority of India, his name is entered as 'Bharath. L.'.
5. Due to numerology, I have decided to renounce his names 'Barath', 'Barath. L.' and 'Bharath. L.', and do hereby assume the name of 'Bharath Yadhav'.
6. Therefore, I hereby renounce and relinquish my son's abovesaid names 'Barath', 'Barath. L. ', 'Bharath. L.' and '', and do hereby identified and called by the assumed name 'Bharath Yadhav'only.
Solemnly affirmed and signed before the Notary Public at Karaikal, on this 14th day of November 2016.
998434 L. CHITRADEVI. ———— AFFIDAVIT
I , Perumal, son of Murat Munusamy and residing at No. 51, Mettu Street, Kurusukuppam, Padmini Nagar, P ud ucher ry-605 012, do hereby solemnly and sincerely affirm as follows:
That I am the deponent herein.
That my name has been entered in my Voter's Identity Card No. HJN195909 issued by the Election Commission of India as 'Perumal'.
That my name has been entered in my Aadhaar Card No. 4108 6716 3728 as 'M. Perumal'.
That my name has been entered in my Birth Certificate No. C/1984/00310 issued by the Puducherry Municipality as 'Perumal'.
That my name has been entered in my daughter's Birth Certificate No. M/2005/00983 issued by the Puducherry Municipality, Government of Puducherry as 'Perumal'.
That my name has been entered in my 2nd daughter 's Birth Certificate No. M/2008/17488 issued by the Puducherry Municipality, Government of Puducherry as 'Perumal'.
91 8 LA GAZETTE DE L'ETAT [29 November 2016That my name has been entered in my Family Ration Card No. 310056 issued by the Department of Civil Supplies and Consumer Affairs, Government of Puducherry as '➢'. And in future, I will be called only as 'Perumal'.
I hereby declare that the names 'Perumal' and '➢' are refer to one and the same person i.e., myself only.
That the above particulars are true and correct to the best of my knowledge and belief.
S i g n e d b e f o r e the Notary Public at Puducherry, on this 20th day of October 2016.
Solemnly and sincerely affirmed and signed before the Notary Public at Puducherry, on this 14th day of November 2016.
9 9 8 4 3 7
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CHANGE OF NAME
I, Nadaradjane, son of Latchoumanassamy, Hindu, aged about 64 years and residing at No. 1, Palla Street, Murungapakkam, Puducherry-605 004, do hereby solemnly and sincerely affirm on oath as follows:
1. I am the deponent herein.
998435
M ➢
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AFFIDAVIT
I, Shanmugathayee, wife of Iyappan, aged about 41 years and residing at No. 40, Poraiyathamman Koil Street, Kottaimedu, Villianur, Puducherry-605 110, do hereby solemnly and sincerely affirm on oath as follows:
1. I am the deponent herein.
2. I submit that my name is mentioned as 'Shanmugathayee' in my Elector 's Photo Identity Card under No. JZL0229187, in my Aadhaar Card under No. 7463 6792 9818, in my Bank Passbook Account No. 247010100009567 of Andhra Bank, Puducherry and in my daughter 's Birth Certificate registered under No. M/1995/13124 issued by the Puducherry Municipality. I submit to state that my name is mentioned as '' in my Family Ration Card No. 350382 issued by the Department of Civil Supplies and Consumer Affairs, Puducherry. Thus, both the names 'Shanmugathayee' and '' are denote one and the same person.
3. I hereby declare that I shall at all times hereafter in all records, deeds and writings and in all proceedings, dealings and transactions, private as well as upon all occasions whatsoever use and sign the name of 'Shanmugathayee'as my name in place and in substitution of my former name.
2. I submit that my name is mentioned as 'Nadaradjane' in my Birth Certificate vide Registration No. 258/1959/B issued by Bahour C o m m u n e P a n c h a y a t , Vo t e r s I d e n t i t y C a r d No. PY/01/020/117318 and in my Aadhaar Card No. 2416 9786 8041. I truly state that my name is mentioned as '↔' in my Family Ration Card No. 118024. In my son Sarlos Birth Certificate No. B/1986/162, dated 8-5-1986, my name has been mentioned as 'Nadarajan' and also in his Aadhaar Card No. 2876 0 1 5 4 5 2 8 8 , my n a me h as been spelled as 'Nat ar aj an'. I hereby declare that the abovementioned names 'Nadaradjane', '↔', 'Natarajan' and 'Nadarajan' are refer to one and the same person i.e., myself only.
3. I state that I have now changed my name as 'Omsakthi Nadaradjane' for numerological and sentimental reasons and hereafter, I shall be known by this name.
4. I hereby declare that I shall at all times hereafter in all records, deeds and writings and in all proceedings, dealings and transactions, private as well as upon all occasions whatsoever use and sign the name of 'Omsakthi Nadaradjane' as my name in place and in substitution of my former name.
Solemnly affirmed and signed before the Notary Public at Puducherry, on this 16th day of November 2016.
998439 NADARADJANE.
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