La Gazette de L' État de Poudouchéry
The Gazette of Puducherry
Publiée par Autorité
Published by Authority
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2017 }
| 1 {
No.
31
Poudouchéry
Mardi
1
Août
2017 (10 Sravana 1939)
No.
Puducherry
Tuesday
1st
August
2017
SOMMAIRES
CONTENTS
Page
Page
.. 762
Sentence arbitral du travail
.. 762
Award of the Labour Court .. 762
de tribunal.
.. 773
Notifications du Gouvernement
.. 773
Government Notifications .. 773
.. 780
Avis d’Adjudications
.. 780
Tender notices
.. 780
.. 781
Etablissements dangereux
.. 781
Dangerous Establishments .. 781
.. 782
Annonces
.. 782
Announcements
.. 782
[ 761 ]
Registered with the Registrar
of Newspapers for India under
No. 10410
Registered No. SSP/PY/44/2015-17
WPP No. TN/PMG(CCR)/WPP-88/2015-17
Dated : 1-8-2017
Price : ` 21-00
782
LA GAZETTE DE L’ETAT
[1 August 2017
AFFIDAVIT
I, Rhythin Anand. E, son of Premanandan. E, aged
24 years, residing at Erambally House, Chembra,
Mahe, do hereby solemnly affirm and state as follows:
1. I swear and state that I am the holder of
Aadhaar Card No. 9253 6488 3460, my name is
entered as ‘Riri Anand E’
2. I swear and state that I am the holder of Family
Ration Card vide No. 9520 issued by the Department
of Civil Supplies and Consumer Affairs, Mahe, my name
is entered as ‘E. Ririanand’ in Malayalam.
3. I am the holder of Birth Certificate vide
Registration No. 2750/93 issued by the Thalassery
Municipality, my name is entered as ‘Riri Anand, E’.
4. I am the holder of Electoral Identity Card
No. AWB0038265 issued by the Electoral
Registration Officer, Mahe Constituency, my name
is entered as ‘Riri Anand. E’.
5. In my Secondary School Leaving Certificate
vide Register No. 507581 issued by the Board of
Public Examinations, Kerala, my name is entered as
‘Riri Anand. E’.
6. In my PIC vide Certificate No. PY/TOM/05/
0005300 issued by the Sub-Taluk Office, Mahe,
my name is entered as ‘Ririanand. E’.
7. In my Higher Secondary Examination
Certificate issued by the Board of Higher Secondary
Examination, Government of Kerala vide HSE
Nos. 982869 and 1081631, my name is entered as
‘Riri Anand, E’.
8. In my B. Tech. (Mechanical Engineering)
Mark List vide Registration No. 11TB1678 issued
by the Controller of Examination, Pondicherry
University, Puducherry, my name is entered as ‘Riri
Anand, E’.
9. In my B. Tech. (Mechanical Engineering)
Course Completion Certificate vide Registration No.
11TB1678 issued by the Principal RVS College of
Engineering and Technology, Karaikal, my name is
entered as ‘Riri Anand, E’.
10. In my Provisional Certificate vide No.
06343 issued by the Controller of Examination,
Pondicherry University, Puducherry, my name is
entered as ‘Riri Anand. E’.
11. In my Diploma in Building HVAC System
vide Registration No. 1214798 issued by the Board
of Examination, my name is entered as ‘Riri Anand. E’.
12. I am the holder of Driving Licence vide No.
PY03 20130000839, my name is entered as ‘Riri
Anand E’.
13. In my PAN Card vide No. CJVPR9907H,
my name is entered as ‘Riri Anand E’.
14. I swear and state that I intent that to change
my name as ‘Rhythin Anand, E’. Therefore, I swear
this affidavit for knowledge of my relatives, friends,
officials concerned and others that hereinafter,
I will be known only as ‘Rhythin Anand, E’, in all
purpose from this effect.
All this is True.
Solemnly and sincerely affirmed and signed before
the Notary Public at Mahe, on this 1st day of July 2017.
53568
RHYTHIN ANAND. E.
————
AFFIDAVIT
I, V. Pitchaiammal, daughter of N. Vaithinathan, wife
of B. Jayaraman, Hindu, Indian, residing at No. 26,
Agraharam, Surakudy Post, Thirunallar Taluk, Karaikal
District, Puducherry State, India, do hereby solemnly
declare as follows:
That my name is registered as ‘V. Pitchaiammal’
in my Secondary School Leaving Certificate
under Serial No. 009530 issued by the Headmaster,
Government V.O.C. High School, Kottucherry.
That my name is mentioned as ‘V. Pitchaiammal’
in my Pension Book No. 20983 issued by the Junior
Accounts Officer, Directorate of Accounts and
Treasuries, Puducherry.
That my name is entered as ‘Pichammal’ in my
Marriage Certificate under Registration No. 26/
1989
issued
by
the
Kottucherry
Commune
Panchayat.
That my name is mentioned as ‘V. Pichammal’ in
my son Ramasubramanian’s Birth Certificate under
Registration No. K/1992/03434 issued by the
Karaikal Municipality.
That my name is entered as ‘Pitchammal’ in my
Aadhaar Card No. 8621 5189 9270 issued by the
Unique Identification Authority of India.
That my name is mentioned as ‘Pitchammal’ in
my Electoral Identity Card No. PY/01/027/051517
issued by the Election Commission of India.
That my name is entered as ‘Pitchammal’ in my
PAN Card No. AJVPP9651Q issued by the Income
Tax Department.
783
1 August 2017]
LA GAZETTE DE L’ETAT
That my name is entered as ‘’ in my
Family Ration Card issued by the Department of
Civil Supplies and Consumer Affairs, Karaikal.
That all the above mentioned names i.e.,
‘V. Pitchaiammal’, ‘Pichammal’, ‘V. Pichammal’,
‘Pitchammal’ and ‘’ are refer to one
and the same person i.e., myself only.
Henceforth, I will be known as ‘V. Pitchaiammal’.
Solemnly affirmed and signed before the Notary
Public at Karaikal, on this 1st day of July 2017.
53578
V. PICHAMMAL.
————
AFFIDAVIT
I, Vijayakumar, son of Sundaramoorthy, aged 24 years,
residing at Manal Medu, Dubrayapet, Puducherry-605 001,
do hereby solemnly and sincerely affirm on oath and
declare as follows:
I state that my name has been written as
‘Vijayakumar’ in my Aadhaar Card under No. 5768
3073
0082,
9th
Standard
School
Transfer
Certificate issued by the Headmaster, Veeramamunivar
Government Boys High School, Puducherry under
Admission No. 5295/2007-08, Serial No. 16795,
Driving Licence No. PY01 20130006845, dated
10-7-2013 issued by the Transport Department,
Puducherry and in my Voter’s Identity Card
No. IGW0032631.
I state that I am also known in my residence by
the home-calling name ‘’ and the same has
been entered in my Family Ration Card No. 301520.
I
declare
that
both
above
names
viz.,
‘Vijayakumar’ and ‘’ are refer to one and the
same person that is myself only.
I state that I always use to write and sign my name
as ‘Vijayakumar’ all records, papers and in all affairs
of my life and I shall follow this same in future too.
Solemnly affirmed and signed before the Notary
Public at Puducherry, on this 17th day of July, 2017.
53581
S. VIJAYAKUMAR
————
AFFIDAVIT
I, Murugan, son of Ganapathy, aged 37 years,
residing at No. 28/A, Pandian Street, Venkateshwara
Nagar (West), Saram, Puducherry-605 013, do hereby
solemnly affirm and sincerely state as follows:
That I am the deponent herein. I state that my
name has been found as ‘’ in my Family
Ration Card No. 172718 and in my Birth Certificate
under Registration No. M/1980/07058, dated
10-11-1980. My name is mentioned as ‘Murugan’ in
my son’s Birth Certificate under Registration
No. P/2010/472, dated 22-1-2010 and in my daughter’s
Birth Certificate and also in my Company’s
(Leo Fasteners, Puducherry) Identity Card. I state
that my name is mentioned as ‘Selvam @ Murugan’,
in my Aadhaar Card No. 3588 3802 5580 and in
my Elector’s Photo Identity Card No. GKY0393793
respectively.
I do hereby declare that the above names
‘Murugan’, ‘’ and ‘Selvam @ Murugan’ are
refer to one and the same person i.e., myself.
I am making this affidavit in lieu -proof of my
names 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 18th day of July 2017.
53583
G. MURUGAN.
————
AFFIDAVIT
I, Vinayagamoorthy @ vinayagam, son of Arunachalam,
Hindu, aged about 34 years, residing at No. 20, Gandhi
Thirunallur, Mutharayarpalayam, Puducherry-605 009,
the deponent herein, do hereby solemnly and sincerely
affirm and state as follows:
I submit that I was born on 16-8-1982 at
Villupuram, Tamil Nadu. I studied at Government
High School, Keezhperumpakkam, Villupuram,
Tamil Nadu. The Transfer Certificate issued by the
above School bears my date of Birth as 16-8-1982
and my name as ‘ Vinayagamoorthy)’.
Further, I submit that in my Aadhaar Card vide
No. 4034 7813 8113, dated 2-4-2012, my name has
been mentioned as ‘A. Vinayagamoorthy’.
Further, I submit that in my Electoral Identity
Card issued by the Election Commission of India,
dated 3-1-2011, my name has been mentioned
as ‘Vinayagamoorthy’ vide I.D. No. NOG0031468.
Further, I submit that in my Family Ration Card,
under No. 445874, dated 9-7-2015 issued by the
Department of Civil Supplies and Consumer Affairs,
Puducherry, my name had been mentioned as
‘ (Vinayagam)’.
784
LA GAZETTE DE L’ETAT
[1 August 2017
Therefore, my above solemn declaration in
respect of my identity of names as ‘A. Vinayagamoorthy’
and ‘Vinayagam)’ are refer to one and the
same person i.e., myself only.
Further, I d eclare that I will be called a s
‘A. Vinayagamoorthy’ only in future.
Solemnly and sincerely affirmed and sign before
the Notary Public at Puducherry on this 14th day
of July 2017.
53584
A. VINAYAGAMOORTHY.
————
AFFIDAVIT
I, Vanishree, daughter of Rajendiran, Hindu, aged
about 26 years and residing at No. 19, Anthoniyar Koil
Street, Dubrayapet, Puducherry-605 001 do hereby
solemnly and sincerely affirm on oath as follows:
I am the deponent herein.
I submit that my name is mentioned as
‘Vanishree .R’ in my Transfer Certificate No. 2932
issued by the Motilal Nehru Government Polytechnic,
Puducherry.
I submit that my name is mentioned as ‘R. Vanishree’
in my Aadhaar Card No. 4861 4359 4480.
I submit that my name is mentioned as ‘Vanishree’
in my Voter’s Identity Card No. RNV0020719.
I submit that my name is mentioned as ‘’
in my Family Ration Card No. 363191 issued
by the Department of Civil Supplies and Consumer
Affairs, Puducherry.
Thus, all the names ‘Vanishree .R’, ‘R. Vanishree’,
‘Vanishree’ and ‘’ are refer to one and the same
person that is myself only.
Hereafter, I shall be known by the name
‘Vanishree ()’.
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 ‘Vanishree ()’ as my name in
place and in substitution of my former name.
Solemnly affirmed and signed before the Notary
Public at Puducherry, on this 13th day of July, 2017.
53586
VANISHREE.
E.
A. Chandrasekar alias Ganesan)
B
‘Ganessan’
‘Ganesan’
TN31-20040004144
‘Chandrasekaran @ Ganesane’
‘
Chandhara sekar)’
YBP0078931‘
Chandhara sekar)’
‘’
‘’
Sharmi
‘Ganesan’
‘ E.
A. Chandrasekar a lias Ganesan)’
53589
E.
————
(Jacqueline)
P
‘J ac q ue li ne ’
‘Jacquline’
785
1 August 2017]
LA GAZETTE DE L’ETAT
‘(Jacqueline)’
PY
‘(Zhakkilinselvi)’
‘’
53590
.
————
AFFIDAVIT
I, Hairunnisa, wife of Mohamed Hussain, Indian,
residing at No. 31, Vayalkarai Street, Karaikal Town and
District Munsifi, do hereby solemnly affirm and oath
as follows:
1. That in my Electoral Identity Card issued by
the Election Commission of India in No. PY/01/023/
054119, my name has been entered as ‘Hairunnisa’.
2. That in my Aadhaar Card issued by the Unique
Identification Authority of India, under No. 6390
9905 1426, my name has been entered as
‘Hairunisha’.
3. In my Family Ration Card issued by the
Department of Civil Supplies and Consumer Affairs,
Karaikal in No. 442144 my name has been entered
as ‘(Nisama)’.
4. I do hereby declare that the names ‘Hairunnisa’,
‘Hairunisha’ and ‘(Nisama)’ mentioned in
the above documents are refer to one and the same
person i.e., myself only.
6. I declare that, in future, I will be known and
called only as ‘Hairunisha’.
Solemnly affirmed and signed before the Notary
Public at Karaikal, on this 18th day of July 2017.
53591
.
AFFIDAVIT
I, Haja Jahabar Natchial, wife of Mohamed Yousouf,
Indian, residing at No. 31, Vayalkarai Street, Karaikal
Town and District Munsifi, do hereby solemnly affirm
and oath as follows:
1. That in my Birth Certificate registered with
the Karaikal Municipality vide Registration No. K/
1981/00164, dated 2-2-1981, my name has been
entered as ‘Haja Jahabar Natchial’.
2. That in my Elector’s Photo Identity Card issued
by
the Election Commission of India in No.
KSQ0237941, my name has been entered as ‘Haja
Jagabar Natchiyaal’.
3. That in my Aadhaar Card issued by the Unique
Identification Authority of India under No. 7400
6859 5907, my name has been entered as ‘Haja
Jegabar Natchiyal’.
4. In my Family Ration Card issued by the
Department of Civil Supplies and Consumer Affairs,
Karaikal under No. 442144, my name has been
entered as ‘(Jahabar Natchial)’.
5. I do hereby declare that the names ‘Haja
Jahabar Natchial’, ‘Haja Jagabar Natchiyaal’, ‘Haja
Jegabar Natchiyal’ and ‘(Jahabar
Natchial)’ mentioned in the above documents are
refer to one and the same person i.e., myself only.
6. I declare that in future, I will be known and called
only as ‘Haja Jegabar Natchiyal ()’.
Solemnly affirmed and signed before the Notary
Public at Karaikal, on this 18th day of July 2017.
53592
M. HAJA JAHABAR NATCHIAL.
————
AFFIDAVIT
I, S. Thiyagu, son of T. Sathyamoorthy, aged about
33 years, residing at No. 5, Pillaiyar Koil Street,
Kamaraj Nagar, Puducherry-605 011, do hereby
solemnly and sincerely state on oath as follows:
I am the deponent herein.
I declare that my correct name with spelling is
‘Thiyagu’. The same name is correctly entered into
my Birth Certificate, Voter’s Identity Card, Family
Ration Card, Driving Licence, Aadhaar Card, PAN
Card, Axis Bank Passbook and in my Marriage
Certificate.
786
LA GAZETTE DE L’ETAT
[1 August 2017
Further, I declare that instead of my correct name
with spelling ‘Thiyagu’ was erroneously entered as
‘Thiagu’ in my S.S.L.C. Marksheet, No.1442896
issued
by
the
Department
of
Government
Examination, Chennai and S.S.L.C. Transfer Certificate
Serial No. 1192 and Higher Secondary School
Marksheet No.HSG 0316096 issued by the
Department of Government Examinations, Chennai
and Higher Secondary School Transfer Certificate
and in my B.Com., (Bachelor of Commerce) Degree
Certificate issued by the Thiruvalluvar University,
Registration No. 2424695
and U.G. (Under
Graduate) Transfer Certificate (T.C. No. 66),
Admission No. 03CMD70 issued by St. Josephs
College of Arts and Science Affiliated to
Thiruvalluvar University Accredited by NAAC with
B++ and my M.B.A. (Master of Business
Administration in Marketing) Provisional Certificate
(Serial No. 6P-05488) Enrolment No. 2006361025,
Folio No. DO.8363347 issued by the Pondicherry
University.
Further, I declare that both the names ‘Thiyagu’
and ‘Thiagu’ are refer to one and the same person
i.e., myself only. I declare that I will use my name
as ‘Thiyagu’ only in future.
The above deposed paragraphs are true to the best
of my knowledge, belief and information.
Solemnly and sincerely affirmed and signed before
the Notary Public at Puducherry on this 18th day of
July 2017.
53595
S. THIYAGU.
————
AFFIDAVIT
I, Volentine Mangalamary Thally, wife of William
Robert Gowe, aged 53 years, residing at No. 10, Chinnathu
Naadaar Street, Kurusukuppam, Puducherry-605 012,
do hereby solemnly and sincerely affirm on oath and
declare as follows:
I state that my name has been mentioned as
‘Volentine Mangalamary Thally’ in my Aadhaar Card
No. 9512 6473 7553, PAN Card No. BFRPT3422A
and in my Bank Passbook issued by the Bank of
India, vide Account No. 810010100016927.
I state that my name has been mentioned as
‘’ in my Family Ration
Card No. 301021.
I state that my name has been mentioned as
‘Volentine Mangalamary Gow’ in my Passport
No. P3920592.
I state that my name has been mentioned as
‘Volentine Mangalamary’ in my Birth Certificate
under Registration No. 254/1964/03, dated 27-2-1964
issued by the Government of Tamil Nadu,
Department of Municipal Administration and Water
Supply, and in my Marriage Certificate issued by the
Sub-Registrar Office, Puducherry under Register
No. 13/2005/SM, dated 10-2-2005.
I state that my name has been mentioned as
‘Lavandenagav’ in my Voter’s Identity Card under
No. PY/01/002/012122.
I hereby declare that above referred names
viz., ‘Volentine Mangalamary Thally’, ‘
’, ‘Volentine Mangalamary Gow’,
‘Lavandenagav’ and ‘Volentine Mangalamary’ are
refer to one and the same person that is myself
only.
I state that I always use to write my name as
‘Volentine Mangalamary Thally’ in all records,
deeds and writings and in all proceedings, dealings
and transactions and hereafter, I shall also use this
same name for all transactions whatsoever.
The above deposition is true and correct to the
best of my knowledge and belief and nothing
material has been concealed therein.
Solemnly affirmed and signed before the Notary
Public at Puducherry, on this 19th day of July, 2017.
53596
————
S. S.Murugan)
M
‘Murugan’
‘
S.Murugan)’
RNV0085753‘
Murugan)’
‘’
‘S.’
‘S. S. Murugan)’
787
1 August 2017]
LA GAZETTE DE L’ETAT
53597
S.
————
(Anitha)
M
‘Chithra’
‘E. Anitha’
‘Anitha’
TLS
‘Anitha’
‘’
‘Anitha’
E. ANITHA.
————
AFFIDAVIT
I, Sagunthala wife of Gothandapani, Hindu, Indian
residing at 20, Ambagarathur Road, Thirunallar, Karaikal,
do hereby solemnly affirm and state as follows:
1. That in my Aadhaar Card issued by the Unique
Identification Authority of India in Card No. 9832
9246 0246, my name has been entered as ‘Sakundala
()’.
2. That in Bank of India, Thirunallar Branch,
in my Passbook with Account No. 811110110003757,
my name has been entered as ‘Sagunthala. K’.
3. That in my Birth Certificate issued by the
Thirunallar Commune Panchayat with Registration
No. T/1996/140, dated 19-6-1996, my name has
been entered as ‘Sakundala’.
4. In my PAN Card under No. IFOPS8544Q,
my name has been entered as ‘Sagunthala’.
5. In my Service Book maintained by the
Government of Puducherry, my name has been
entered as ‘K. Sangunthala’.
6. In my Family Ration Card issued by the
Department of Civil Supplies and Consumer Affairs,
Karaikal, my name has been entered as ‘’.
7. I
do
hereby
declare
that
the
names
‘Sakundala’, ‘’, ‘Sagunthala. K’ and
‘K. Sangunthala’ mentioned in the above documents
are refer to one and the same person i.e., myself.
8. I declare that, in future, I will be known and
called only as ‘Sakundala’.
Solemnly affirmed and signed before the Notary
Public at Karaikal, on this 20th day of July 2017.
53605
K.
————
S. (S.Suresh)
496 ‘Suresh’
‘(S. Suresh)’
JZL0359489‘(Ramesh @
Suresh)’
‘’
‘’
Nandhinidevi Sowmiyasri
‘Suresh’
788
LA GAZETTE DE L’ETAT
[1 August 2017
‘S. (S. Suresh)’
S.
————
A
S.(S. Ravanitham)
K/1983/
00055‘Ravanitham’
KXX0248674 ‘
(Ravaneetham)’
‘(Ravanitham)’
Sharmila
Arulvendhan
‘Ravanitham’
‘S.Ravaneetham’
‘’
‘S.
(S. Ravanitham)’
S. .
AFFIDAVIT
I, Suganya, daughter of Ravi and wife of Suriyamurthy,
aged 27 years and residing at the house bearing
Door No. 5, Vanchinathan Street, Samipillaithottam,
Karuvadikuppam, Puducherry-605 008, do hereby
solemnly and sincerely affirm, to whomsoever it may
concern as follows:
I am the deponent herein. I state that in
my Certificate of Birth under Registration No.
M/1995/152, Aadhaar Card under No. 8799
6373
5201 and
i n m y E l e c t o r ’s P h o t o
I d e n t i t y C a r d un d e r No. RN0085720, my name
has been mentioned as ‘Suganya’.
In my Transfer Certificate under Admission
No. 624, my name has been mentioned as ‘Suganya. R’.
In my Family Ration Card under No. 336347,
my name has been mentioned as ‘’.
In my marriage invitation, my name has been
mentioned as ‘R. ’.
Therefore, I do hereby state that the abovesaid
names ‘Suganya’, ‘Suganya. R’, ‘’ and ‘R.
’ are refer, identify, 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 ‘Suganya ’ 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 25th day
of July 2017.
53625
.
————
AFFIDAVIT
I, S. Jayakumary, wife of A. Selvakumar, Hindu,
Female, aged about 46 years and residing at Plot No. 21,
I Cross Street, Ramalinga Nagar, Sokkanathanpet,
Thattanchavady, Puducherry do hereby solemnly
affirm and sincerely and state as follows:
1. I am the deponent herein.
2. I state and that declare that my name is known
as ‘S. Jayakumary’, the same is evidenced through
my Aadhaar Identity Card No. 4225 2934 9189
and also my name has been mentioned in my
Secondary School Leaving Certificate No. 1813286
789
1 August 2017]
LA GAZETTE DE L’ETAT
as
‘R. Jayakumari’ and my name has been
mentioned as ‘Jayakumari’ in my Voter’s Identity Card
No. KXX0168591.
3. I state that the names ‘S. Jayakumary’,
‘R. Jayakumari’ and ‘Jayakumari’ are referring one
and the same person i.e., myself .
4. I hereby swear this affidavit for the reason
that
hereafter,
I
shall
be
known
and
called
as ‘S. Jayakumary’ only.
5. I do hereby undertake that I have not concealed
any true facts or misrepresentation and the facts
stated by me are true to the best of my knowledge,
belief and information.
Solemnly affirmed and signed before the Notary Public
at Puducherry, on this 28th day of July 2017.
53643
S. JAYAKUMARY.
————
AFFIDAVIT
I, Selvamani, wife of Durairaj (late) and daughter
of Kandaswamy, Indian, residing at No. 30/31, B-2,
Jaya Balaji Nagar, Ganapathi Nagar, Puducherry,
do hereby solemnly affirm and declare as follows:
I am the deponent herein, giving this affirmation
on behalf of my minor daughter ‘Latchana D.S.’
aged about 14 years.
I state that my daughter’s name is mentioned as
‘Latchana’ in her Birth Certificate vide Registration
No. C/2003/02494, dated 14-10-2003, born on
12-10-2003 issued by the Pondicherry Municipality,
Puducherry.
That my daughter’s name is mentioned as
‘Latchana D.S.’ in her School Identity Card issued
by the Amritha Vidyalayam, Chennai. Whereas, in
her Aadhaar Card vide No. 5955 6689 0479 and
Community Certificate issued by Tamil Nadu
Government, Certificate No. EC6B6C686A687D86,
my daughter’s name is mentioned as ‘Latchana
D.S.’ ()’.
Further, I state that my daughter’s name ‘Latchana D.S.’
the letter ‘D’ denote her deceased father ‘Durairaj’
and ‘S’ denote my name ‘Selvamani’ (mother).
Further, I state and declare that the abovesaid
names ‘Latchana’ and ‘Latchana D.S. ()’
are refer to one and the same person that is my
daughter only.
I declare that hereafter, my daughter shall be
called and known as ‘Latchana D.S. ()’
only.
Solemnly affirmed and signed before the Notary
Public at Puducherry on this 28th day of July 2017.
53648
D. SELVAMANI
————
AFFIDAVIT
I,
Kichenamourty,
son
of
Loganadin
Dit
Zearamalou, Hindu, aged 52 years and residing at
No. 122, 3rd Cross, Dr. Anne Besant Nagar, Navarkulam,
Lawspet, Puducherry-605 008, do hereby solemnly
declare as follows:
I
declare
that
my
name
is
entered
as
‘Kichenamourty’ in my Birth Certificate bearing
Registration No. P/1964/03880 registered on 20/
10/1964 and in my Aadhaar Card bearing No. 9071
3644 1447 and in my Electoral Identity Card bearing
No. GKY0392340. However, in my PAN Card
bearing No. BXHPK5728C, and in my S.S.L.C.
Mark Sheet bearing Certificate No. Al164388, in
my Driving Licence bearing No. TN31 19840000599,
my name is entered as ‘Krishnamurthy’.
Further, I declare that all the spellings of my
names viz., ‘Kichenamourty’ and ‘Krishnamurthy’
are refer to one and the same person i.e., myself
only.
Further, I declare that henceforth, I shall be
known only as ‘Kichenamourty’.
Further, I declare that in my Birth Certificate
bearing Registration No. P/1964/03880 registered
on 20-10-1964, my father’s name is entered as
‘Loganadin Dit Zearamalou’ and also in my
Passport bearing No. R0256619 , my father’s name
is entered as ‘Loganadin Dit Zearamalou’. However,
in my Aadhaar Card bearing No. 9071 3644 1447
and in my Electoral Identity Card bearing No.
GKY0392340, in my PAN Card bearing No.
BXHPK5728C, my father’s name is entered as
‘Loganathan’. Yet, in my Driving Licence bearing
No. TN31 19840000599, my father’s name is
mentioned as ‘Logaianaidu’.
Further, I declare that all the names of my father
‘Loganadin Dit Zearamalou’, ‘Loganathan’ and
‘Logaianaidu’ are refer to one and the same person
i.e., my deceased father only.
790
LA GAZETTE DE L’ETAT
[1 August 2017
Further, I declare that henceforth, I shall follow
my father’s name as ‘Loganadin Dit Zearamalou’.
This affidavit is made in lieu of the aforesaid
facts and I have not concealed any material facts.
Solemnly affirmed and signed before the Notary
Public at Puducherry, on this 28th day of July 2017.
53652
KICHENAMOURTY.
————
AFFIDAVIT
I, Hajira Fathima, daughter of
Dharman, wife of
Balamurugan (late), aged about 33 years, previously
known and called Annalakshmi @ Kavitha, for myself
and on behalf of my minor sons, Abdul Bathin aged
about 15 years, Mohamed Kaisan aged about 13 years
and Mohamed Shamil aged about 12 years, sons of
Balamurugan (late), previously known and called
Premkumar, Kishore and Shyam respectively, as their
mother and guardian residing at No. 72, Thomas Arul
Thidal, Ammalchathiram, Oduthurai, Karaikal-609 602,
Karaikal District, do hereby solemnly affirm on oath
and declare as follows:
My name is shown as ‘Annalakshmi’ in my
Birth Certificate with Registration No. K/1984/
0623
and
Vo ter ’s
Id en tity
Car d
No .
CHD0174474, as ‘Annalakshmi Kavitha’ in my
Aadhaar Card No. 8141 3739 1854 and as
‘’ in my Family Ration Card
No. 431589. All these names found in the aforesaid
documents are refer to one and the same person that
is myself only.
The name of my first son is shown as
‘Premkumar’
in
his
Birth
Certificate
with
Registration No. K/2002/00737 and in his Aadhaar
Card No. 8271 4825 0384. The name of my second
son is shown as ‘Kishore’ in his Birth Certificate
with Registration No. K/2003/02839 and in his
Aadhaar Card No. 7970 9784 9921. The name of
my third son is shown as ‘Shyam’ in his
Birth Certificate with Registration No. K/2004/
04727 and in his Aadhaar Card No. 3733 1359 7904.
I have changed my name as ‘D.
(Hajira Fathima)’ and the names of my aforesaid
three sons ‘Premkumar’, ‘Kishore’ and ‘Shyam’ as
‘Abdul Bathin) ’, ‘
(Mohamed Kaisan)’ and ‘ (Mohamed
Shamil)’ respectively, consequent on our voluntary
conversion of religion from Christianity to Islam
on 18-10-2015 in the presence of the Government
Regional Kazi, N.S. Abdul Hameed Maricar of
Karaikal.
For and on behalf of myself and my aforesaid
three Children, I wholly renounced, relinquished and
abandoned the use of my former name ‘Annalakshmi
@ Kavitha’ and the use of former names of my
aforesaid
three
sons
namely,
‘Premkumar’,
‘Kishore’, ‘Shyam’ and in places thereof assumed
the names ‘Hajira Fathima’, ‘Abdul Bathin’,
‘Mohamed
Kaisan’
and
‘Mohamed
Shamil’
respectively so, that I and my aforesaid three sons
may thereafter be called, known and distinguished
not by our former names, ‘Annalakshmi @ Kavitha’,
‘Premkumar’, ‘Kishore’
and ‘Shyam’ but, by our assumed and adopted
names, ‘Hajira Fathima’, ‘Abdul Bathin’, ‘Mohamed
Kaisan’ and ‘Mohamed Shamil’ respectively.
Further, I declare that we shall at all times
hereafter in all records, deeds and writings and in
all proceedings, dealings and transactions, private as
well as public, and upon all occasions whatsoever
use and sign the names of ‘Hajira Fathima’, ‘Abdul
Bathin’, ‘Mohamed Kaisan’ and ‘Mohamed Shamil’
respectively as our names in place of and in
substitution for our former names aforementioned.
I expressly authorise and request all persons at
all times hereafter to designate and address us by
such assumed names.
I have executed this affidavit in order to effect
the change of our names as detailed above.
Solemnly affirmed and signed before the Notary Public
at Karaikal, on this 10th day of May 2017.
Ack. No. 418
D. HAJIRAFATHIMA.
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