916

LA GAZETTE DE L’ETAT

[29 November 2016

AFFIDAVIT

I, Munawar Basha, Muslim, aged 45 years old, residing

at No. 4, Devaneyan Street, Pakkamudayanpet,

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

of my son only. Hereafter, he will be called

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

paragraphs is true and correct to the best of

my knowledge, belief and information.

Solemnly and sincerely affirmed and signed before

the Notary Public at Puducherry, on this 14th day of

November 2016.

998423

N. VIMALA RANY.

————

AFFIDAVIT

I, Nithasha Saffeer, wife of

Saffeer Mottammal,

aged 25 years, residing at No. 7/275, Zara, P.O. Paral,

Chembra, Chalakkara, Mahe, Puducherry State,

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

Municipality vide Registration No. 1267/91,

in my Birth Certificate, my name is entered

as ‘P.P. Nithasha’.

(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.

917

29 November 2016]

LA GAZETTE DE L’ETAT

AFFIDAVIT

I, @ Nasurudheen, son of Abdul Rahman,

Muslim, Indian, aged 24 years, residing at No.12,

Anbu Nagar, Kovilpathu, Karaikal and District,

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. In 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.

————

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

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,

dated 4-1-1999, his name has been entered

as ‘Barath’.

2. In my son ‘Barath’s’ Transfer Certificate

issued by Thanthai Periyar Government Higher

Secondary School, Karaikal with Admission

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, Puducherry-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’.

918

LA GAZETTE DE L’ETAT

[29 November 2016

That 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.

Signed before the Notary Public at Puducherry,

on this 20th day of October 2016.

998435

M

————

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.

Solemnly and sincerely affirmed and signed

before the Notary Public at Puducherry, on this

14th day of November 2016.

998437



————

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.

2. I submit that my name is mentioned as

‘Nadaradjane’ in my Birth Certificate

vide

Registration No. 258/1959/B issued by Bahour

Commune Panchayat, Voters Identity Card

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 0154 5288, my name has been

spelled as ‘Natarajan’. 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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Puducherry-605 009

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