1029
19 September 2017]
LA GAZETTE DE L’ETAT
AFFIDAVIT
I, Abdul Ravouf son of Mohamed Zakriya, Indian,
residing at No. 15, Pattakkal Street, Karukankudy,
Thirunallar, Karaikal Town and District Munsifi, do
hereby solemnly affirm and oaths as follows:
1. That in my Birth Certificate registered with
the Karaikal Municipality with Registration No. K/1983/
02075, my name has been entered as ‘Abdul Ravouf’.
2. That in my India Driving Licence No.
PY0220030001335
issued
by
the
Assistant
Licensing Authority, Karaikal, my name has been
entered as ‘Abdul Ravouf’.
3. That in my Elector’s Photo Identity Card
issued by the Election Commission of India
under No. LLS0164699, my name has been
entered as ‘Abdul Ravouf’.
4. That in my Passport with No. L7905286
issued by the Regional Passport Officer, Chennai,
dated 20-3-2014, my name has been entered as
‘Abdul Ravouf’.
5. In my Secondary School Leaving Certificate
issued
by
the
Department
of
Government
Examinations, Chennai with Register No. 385265,
my name has been entered as ‘Abdul Ravooz’.
6. In my Statement of Marks issued by the
Tamil Nadu Open University with No. 902166,
my name has been entered as ‘Abdul Ravooz’.
7. In my Higher Secondary Course Certificate
issued by the Secretary, Board of Higher Secondary
Examination, Tamil Nadu, my name has been
entered as ‘Abdul Ravooz’.
8. In my Diploma Certificate issued by the
Tamil Nadu Open University with Enrolment
No. A5DHE50236, my name has been entered
as ‘Abdul Ravooz’.
9. In my Family Ration Card issued by the
Department of Civil Supplies and Consumer Affairs,
Karaikal with Card No. 204546, my name has been
entered as ‘’.
10. I do hereby declare that the names ‘Abdul
Ravouf’, ‘Abdul Ravooz’ and ‘’
mentioned in the above documents are refer to one
and the same person i.e., myself only.
Solemnly affirmed and signed before the Notary
Public at Karaikal, on this 05th day of September 2017.
53819
M. ABDUL RAVOUF.
AFFIDAVIT
I, Marie Bernadette Josephine, wife of Emmanuel
Philippe Belevindirassamy, aged about 59 years,
residing at No. 45, Thendral Street, Jayamoorthy Raja
Nagar, Uzhandai Keerapalayam, Puducherry-605 004,
do hereby solemnly and sincerely affirm and state on oath
as follows:
I state that I am the deponent herein and I know
the facts of my depositions.
I state that my name has been recited as ‘Marie
Bernadette Josephine’, in my Birth Certificate,
dated 10-10-2013 under Registration No. P/1958/01468
on 12-6-1958 issued by the Pondicherry Municipality
Registrar of Births and Deaths and in my Marriage
Certificate, dated 19-9-2006, under No. 19/1977/PMC
on 21-2-1977 issued by the Pondicherry Municipality,
Puducherry.
Further, I like to state that in my Aadhaar Card
bearing No. 3174 3367 1560 issued by the Unique
Identification Authority of India and in my Elector’s
Photo Identity Card, bearing No. LXL0227975 and
in my Postgraduate Diploma (PGDIP) Certificate
No. 1711010, my name is entered as ‘Marie Bernadette
Josephine’. In my Family Ration Card, bearing
No. 085415, issued by Department of Civil Supplies
and Consumer Affairs, my name has been entered as
‘’.
Further, I state that my name has been entered as
‘M.B. Josephine Sheila’ in my Anglo-Indian High
School Examination, Standard XI issued by Inspector
of Anglo-Indian Schools, Madras. In my Pre-University
Examination Marksheet issued by Controller of
Examination, University of Madras, my name has
been entered as ‘Josephine Sheila. M.B.’.
Further, I state that the aforesaid name i.e.,
‘Marie Bernadette Josephine’ as recited in my
Birth Certificate, Marriage Certificate, Aadhaar
Card, Elector’s Photo Identity Card, Postgraduate
Diploma Certificate and in my Family Ration Card,
and the name ‘M.B. Josephine Sheila’ entered in my
Anglo-Indian High School Examination, Standard XI
and the name ‘Josephine Sheila. M.B’ in my
Pre-University Examination Marksheet are refer to
one and the same person i.e., myself.
Henceforth, I shall be known and called as ‘Marie
Bernadette Josephine’.
I submit that the above contents are true and
correct to the best of my knowledge, belief and
information and nothing has been concealed.
Solemnly affirmed and signed before the Notary Public
at Puducherry on this 12th day of September 2017.
53851
M.B. JOSPHINE.
1030
LA GAZETTE DE L’ETAT
[19 September 2017
AFFIDAVIT
I, Lakshmi, daughter of Citybabu @ Shanmugam, aged
about 23 years, residing at No. 2, Gangaiamman Koil
Street (North), Pillaichavady, Puducherry, do hereby
solemnly and sincerely affirm on oath and declare as
follows:
I state that my name has been written as
‘Lakshmi’ in my Birth Certificate issued by
Pondicherry Municipality under Registration
No. M/1994/540, dated 18-1-1994, School Transfer
Certificate under Admission No. 6901/2008-09
under Serial No. 160277, dated 7-4-2011 issued by
the Government Girl’s Higher Secondary School,
Kalapet, Puducherry-605 014 and in my Aadhaar
Card No. 2874 8669 5273, my name is mentioned
as ‘Lakshmi ()’.
I state that my name has been written as ‘’
in my Family Ration Card No. 386235.
I declare that both the above names viz., ‘Lakshmi
() and ‘’ entered on the abovesaid
records are one and the same referring one person
that is myself only.
I state that hereafter, I shall use to write and sign
only by the name ‘Lakshmi’ on all records, papers
and all affairs of my life.
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 13th day of September 2017.
53863
S. LAKSHMI.
AFFIDAVIT
I, Hita, daughter of Atit Luhar, Hindu, aged about 30 years,
residing at Flot C1, Pragati Appartment, No. 7,
Candappa Mudaliar Street, Puducherry-605 001, now
presently residing at No. 32, Manakula Vinayagar Koil
Street, Puducherry, do hereby solemnly affirm and
state on oath as follows:
I
state that in my Higher Secondary Course
Certificate under No. ICE/CERT/RM/11/2007,
dated
2-11-2007,
issued
by
Sri
Aurobindo
International Centre, Driving Licence No. PY/01/
20070003472, dated 5-4-2007 issued by the
Transport Department, Puducherry. In my PAN Card
No. ACWPL2554J, dated 19-12-2006 issued by the
Income Tax Department and in my Aadhaar Card
bearing No. 2929 3148 7212, my name has been
entered as ‘Hita Luhar’.
Further, I state that in my Passport bearing
No. P 66 86389 issued by the Regional Passport
Office, Chennai, dated 16-1-2017, my name has
been entered given name as ‘Hita’.
Further, I state that in my Family Ration Card
bearing No. 005413 issued by the Department of
Civil Supplies and Consumer Affairs, dated
15-7-2005, my name has been entered as ‘
’. Further, I declare that the above-mentioned
names are refer to one and the same person of
myself only.
That I expressly authorized and request all
persons in general, relatives and friends in
particular, at all times hereafter to designate and
address me by the name as ‘Hita’.
In witness whereof, I have hereinto subscribed
my other names/surnames and affix my name/
surname of my signature as ‘Hita’.
Signed before the Notary Public at Puducherry,
on this the 13th day of September 2017.
53864
HITA.
No legal responsibility is accepted for the publication of advertisement regarding change of names and other private notifications
in the Gazette. Persons notifying the same will remain solely responsible for the legal consequences and also for any other
misrepresentations, etc.
online publication at “http://styandptg.puducherry.gov.in”
Government Central Press
Directorate of Stationery and Printing
Puducherry-605 009
