Puducherry Gazette, No. 42, 17 October 2017

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No. 42 Poudouchéry Mardi 17 Octobre 2017 (25 Asvina 1939)

No. Puducherry Tuesday 17th October 2017

➢ S OM M A I R E S C O N T E N T S

Page  Page

➢ .. 11 3 4 Sentence arbitral du travail .. 11 3 4 Award of the Labour Court .. 11 3 4

de tribunal.

• .. 11 4 5 Notifications du Gouvernement .. 11 4 5 Government Notifications .. 11 4 5  .. 11 5 5 Avis d'Adjudications .. 11 5 5 Tender notices .. 11 5 5  .. 1158 Etablissements dangereux .. 1158 Dangerous Establishments .. 1158

.. 11 6 3 Announcements .. 11 6 3  .. 11 6 3 Annonces

[ 1133 ]17 October 2017] LA GAZETTE DE L'ETAT 1163 In conformity with rule 11 of the Puducherry Commune Panchayats (Grant of Licences and Permissions) Rules, 1976, promulgated in this Union Territory by the Puducherry Village and Commune Panchayats Act, 1973, objections, if any, to the setting up of the above industry, are invited to reach the Commissioner, Nettapakkam Commune Panchayat within ten days from the date of publication of this notice in the Official Gazette.

The objections, so received within the specified period will be considered by this Commune Panchayat.

A. MANOHAR,

CHANGE OF RELIGION

I, Santhi, daughter of Krishnasamy, wife of L. Basheer Ahamed, Indian, aged 27 years, and residing at No. 7, Bungalow Thottam, Melaoduthurai, Neravy Commune, Karaikal District, do hereby solemnly affirm and sincerely state on oath as follows:

That my name is 'Santhi' as per my Birth Certificate vide Registr atio n No . N/1 98 9 /00 0 3 5 issued b y the Registrar, Neravy Commune Panchayat, Neravy. I have adopted by Islam and converted myself to Muslim and married one Basheer Ahamed. Upon convertion to M us li m, I ha ve c ha ng e d my n ame as ' Fa r v in ' (in Tamil). After conversion to Islam, I have relinquished my birth name 'Santhi' and assumed the new name 'Farvin'.

Henceforth, I will be known, called and identified by my assumed name as 'Farvin'.

Solemnly affirmed and signed before the Notary Public at Karaikal, on this 28th day of September 2017.

53 63 8 B. SANTHI.

————

CHANGE OF RELIGION

I, Packirisamy, son of Kailasam, aged about 40 years, and residing at No. 4, Anbu Nagar, Karaikal-609 605 Karaikal District, Puducherry State, India, do hereby solemnly affirm and sincerely state on oath as follows:

I am the deponent herein.

I state that I was born to my parents 'Kailasam and Packiavathy' on 12-8-1977. I have converted myself from Hindu to Christian religion and I got married with Amalorpavamary according to the Chr istian r ites and customs on 22 -6-2 0 17 and I have changed my name from 'Packirisamy' to 'Packirisamy @ Isac'.

Henceforth, I shall be called and known as 'Packirisamy @ Isac'.

Commissioner. I make this affidavit in lieu proof of the abovesaid facts.

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 Karaikal, on this 16th day of September 2017.

53 92 0 K. PACKIRISAMY.

————

AFFIDAVIT

I, Indiragandhi, wife of Vijayaraj, Hindu, Indian, aged 32 years, residing at No. 15, Tsunami Nagar, Akkampettai, Thiruvettaikudy, Kottucherry Commune, Karaikal District, do hereby solemnly affirm and sincerely state on oath as follows:

1. I am the deponent herein and I depose the following:

2. That my correct name is '', mentioned in my School Record vide Registration No. 463, dated 28-9-1990 issued by the Headmaster, Middle School, Kumarakudy. In my Aadhaar Card vide No. 3287 0187 8203, my name is mentioned as 'Indhiragandhi Vijayaraj'. In my Voter's Identity Card vide No. BSJ0273102, my name is mentioned as 'Indhiragandhi ()'. In my daughter Shanmugapriya's Birth Certificate, my n a me i s mentioned as 'I ndr agand hi' and in my Marriage Certificate vide No. 000491, dated 22-7-2005 my name is mentioned as 'Indra Gandhi'.

3. Whereas, in my Family Ration Card under No. 419137, my name is mentioned as ''.

4. I state and declare that the above mentioned names '', 'Indhiragandhi Vijayaraj', 'Indhiragandhi ()', 'Indragandhi', 'Indra Gandhi' and '' are denote, identify and relate to one and the same person i.e., myself only.

5. Further, I declare and state that hereafter, I shall be called and known only by the name 'Indhiragandhi ()' for all my future purposes.

Solemnly affirmed and signed before the Notary Public at Karaikal on this 16th day of July 2017.

53 92 1 V. INDHIRAGANDHI.

———— ➢ 

  ➢        ➢     ➢   •   ↔   ▪➢ ➢  ➢ ▪     ▪     ▪ DGL              ▪    ▪TN ▪➢' V. ↔ (V. Raja)'▪    ▪  ▪ ▪ ➢ ' ' ▪    ➢  ▪ ➢ ➢  ➢  ▪                              ' V. ↔ (V. Raja)' ▪ 

   ➢     ▪ ➢ ➢ ➢ ▪  • ▪   ▪  

 ➢ ➢ 53 92 2 V. RAJA.

———— ➢ 

              ▪   ▪  ➢   ➢↔   • (Swathiga)   ▪➢ ➢  ➢—

▪ ➢ ▪   ▪ M  'Swathiga' ▪ ▪    ▪  'Swathiga. J' ▪ ▪▪ 'J. Swathiga'▪▪   ▪ 116987 ▪➢ '•' ▪  ▪       ▪ IBI'Swathiga'▪           ▪       •        •   ▪         Hindu    M u s l i m       ➢  •        C.C. No.'→Farveen Banu)'▪▪➢➢  ➢  ▪ ➢➢ ▪       '→    Farveen Banu)' ▪

   ➢      ▪ ➢ ➢ ➢ ▪  • ▪    ▪ 

 ➢  SWATHIGA

————

AFFIDAVIT

I, Valsala Kumari.K, wife of Layanan, aged 45 years, residing at Kuttyporichankandy, West Pallor, Mahe, Pondicherry State, do hereby solemnly affirm and state as follows:

(1) I swear and state that I am the holder of Aadhaar Card vide No. 4687 9022 0949, my name is entered as 'Valsala Kumari.K'.

(2) I am the holder of Electoral Identity Card vide No. PY/01/029/009117 issued by the Electoral Registration Officer, Mahe Constituency, my name is entered as 'Valsala'.

( 3) I swear and state that I am the ho lder o f Family Ration Card vide No. 006166 issued by the Department of Civil Supplies and Consumers Affairs, Mahe, my name is entered as 'Valsala' (in Malayalam).

(4) I swear and state that I am the holder of Secondary School Examination Certificate vide Reg. No. 338371, my name is entered as 'Valsalakumari. K'.

(5) I swear and state that I am the h o l d e r o f Birth Certificate vide Registration No. C/1972/ 00117, my name is entered as 'Kayanadatte Valsalakumary'.

(6) I swear and state that I intent to change my name as 'Valsala Kumari.K'. Therefore, I swear this affidavit for knowledge of my relatives, friends, officials concerned and others that hereinafter, I will be known only as 'Valsala Kumari.K' in all purpose and intends after the publication in the Gazette.

All this is true.

Solemnly affirmed and signed before the Notary Public at Mahe, on this 5th day of September 2017.

53 92 6 VALSALA.

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   ,           ➢                               ▪    ➢     ➢ ➢ ▪ • ▪ ▪ 

     ➢      L. .

————

AFFIDAVIT

I, Ritamary, wife o f Johnbosco, Christian, aged about 53 years and residing at No. 33, Second Cross Street, Pudu Nagar, Reddiyarpalayam, Puducherry-605 010, do hereby solemnly and sincerely affirm on oath as follows:

I am the deponent herein.

I submit that my name is mentioned as 'Ritamary' in my Aadhaar Card No. 5377 1240 8567 and in my Voter's Identity Card No. KVY0471391.

I submit that my name is mentioned as 'S. Rita' ➢ 

       ,,➢ ,   ➢,   ➢       (Andre Norbert Leon)  ▪➢➢  ➢ in my Transfer Certificate No. 2529 issued by the Headmistress, Manimegalai Government Girls' High School, Nellitope, Puducherry.

I submit that my name is mentioned as '' in my Family Ration Card No. 419672 issued by the Department of Civil Supplies and Consumer Affairs, Puducherry.

Thus, all the names 'Ritamary', 'S. Rita' and '' are refer to one and the same person that is myself only.

The abovesaid facts are true and correct to the best of my knowledge, belief, information and nothing has been concealed therein.

Solemnly affirmed and signed before the Notary Public at Puducherry, on this 6th day of September 2017.

53 93 8

J. RITAMARY

————

➢ 

▪ ➢ ▪   ▪ P/1952/ 02066- 'Andre Norbert Leon'▪,▪ ▪,▪    ▪ PY/01/020/109264  '   (Andre Norbert Leon)' ▪,▪▪  ▪ ➢ '' ▪, ▪ ➢  ▪▪➢ ''▪, ▪  Marie Josephin Desidha  ▪  James▪➢ 'Andre' ▪, ▪  Jacquelin  ▪ Antony Raja ▪ ➢ 'Andrea' ▪   ➢  ▪ ➢ ➢  ➢  ▪    ' (Andre Norbert Leon)' ▪                     ➢   ↔    ➢  Murali ▪➢➢ ➢1 16 6 LA GAZETTE DE L'ETAT [17 October 2017 ▪    ➢     ▪                ▪M/1982/08659'Murali' ▪▪   ▪    '  (M. Murali)' ▪ ▪    ▪ S C O ' (Murali)' ▪  ▪    ➢      ▪  ▪ ➢ ''▪ ➢  ▪ ➢ ➢   ➢   ▪      '  ( Mur a li)'  ▪ 

   ➢     ▪ ➢ ➢ ➢ ▪ • ▪   ▪  

     ➢➢ 5 3 9 4 1 M .   .

————

AFFIDAVIT

I, Reetha, wife of Purushothaman. C.H., aged 49 years, residing at Chettiyankandi House, Palloor, Mahe, Puducherry State, do hereby solemnly affirm and state as follows:

1. I swear and state that I am the holder of Aadhaar Card vide No. 3509 3801 8362, my name is entered as 'Reetha'.

2. I swear and state that I am the holder of Family Ration Card vide No. 004285 issued by the Department of Civil Supplies and Consumer Affairs , Mahe, my name is entered as 'Reetha'.

3. I swear and state that I am the holder of Electoral Identity Card No. PY/01/029/000205, Electoral Registration Officer, Pallor Constituency, my name is entered as 'Reetha'.

4 . I s we a r a n d s t a t e t h a t I a m the h o l d e r o f Birth Certificate vide No. C/1968/00194 issued by the Mahe Municipality, Mahe, my name is entered as 'Paloly Couniyil Vanaja'.

6. I swear and state that my daughter Reeshna.C.K.'s Secondary School Leaving Certificate vide Register No. 328484 issued by the Board of Public Examination, Kerala, in the mother's column, my name is entered as 'Reetha. P.K.'.

7. I swear and state that my son Rijesh. C.K's Secondary School Leaving Certificate vide Register No. 144489 issued by the Board of Public Examination, Kerala, in the mother's column, my name is entered as 'Reetha'.

8. I swear and state that I am holding Account with Kerala Gramin Bank, in my Passbook vide Account No. 40455101003475, my name is entered as 'Reetha'.

9. I swear and state that I am the holder of a Insurance Policy in Life Insurance Corporation of I ndia vid e P o licy No.797158389, my name is entered as 'Vanaja.P.K.A/S.Reetha'.

10. I swear and state that my daughter Reeshna. C.K's Marriage Certificate vide Deed No. 66/2008, issued by the Mahe Municipality, Mahe, in the mother's column, my name is entered as 'Vanaja @ Reetha'.

11. I swear and state that my son Rijesh.C.K's Birth Certificate vide Registration No. 369/91 issued by the Mahe Municipality, Mahe, in the mother's column, my name is entered as 'Vanaja'.

12. I swear and state that my son Rijesh.C.K's Marriage Certificate vide Registration No. 1395/2013, issued by the Kozhikode Corporation, in the mother's column, my name is entered as 'Reetha'.

13. I swear and state that I am the holder of Settlement deed vide No. 681/2010 of SRO Mahe, my name is entered as 'Paloli Kuniyil Vanaja @ Reetha' in Malayalam.

14. I state and declare that the above-mentioned names recorded in the said documents are refer, identify and denote one and the same person that is myself only.

15. I swear and state that I intent to change my name as 'Reetha'. Therefore, I swear this affidavit, for knowledge of my relatives, friends, officials concerned and others, that hereinafter, I will be known only as 'Reetha' in all purpose and intends after the publication in the Gazette.

All this is true.

Solemnly affirmed and signed before the Notary Public at Mahe, on this 25th day of September 2017.

53942

REETHA.

5. I swear and state that I am the holder of Abstract of Admission Register vide Admission No.4667 i s s u e d b y t h e H e a d ma s t e r , M . M . H i g h e r Secondary School, New Mahe, my name is entered as 'Vanaja.P.K.'.

AFFIDAVIT

I, M.S. Shahul Hameed, son of Mohamed Sharif Maraikar, aged 60 years, Muslim, Deputy Surveyor, residing at No.13, Asma Avenue, Dharmapuram Road, Karaikal, do hereby solemnly affirm and sincerely state as follows:

My name is 'M.S. Shahul Hameed'. In all the records relating to me such as my PAN Card, Staff Identity Card issued by the Directorate of Survey, and Land Recor ds, and in my Aadhaar Card, and Driving Licence my name is spelt as 'Shahul Hameed M.S'. However, in my Service Book alone, my name is shown as 'M.S. Shahul Ameed'. I hereby give up and renounce the name 'M.S. Shahul Ameed'. I hereby declare that hereafter, I shall only be known, called, referred and identified as 'M.S. Shahul Hameed'.

Solemnly affirmed and signed before the Notary Public at Karaikal on this 6th day of October 2017.

53947 M.S. SHAHUL HAMEED.

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AFFIDAVIT

I, S. Hareesh Nagaraj, son of J. Sathiyanarayanan, Hindu, aged 33 years, residing at No. 57, Plot No. 21, 4th Cross Extention, Rainbow Nagar, Puducherry-605 011, do hereby solemnly affirm and state on oath as follows:

1. I state that in my Secondary School Leaving Certificate issued under the authority of the Government of Tamil Nadu bearing No. 417224, dated 18-6-2001, my name has been entered as 'Hareesh @ Nagaraj. S'.

2. I state that in my Higher Secondary Course Certificate issued under the authority of the Government of Tamil Nadu bearing No. 717272, dated 16-5-2003, my name has been entered as 'Hareesh Nagaraj. S'.

3. I state that in my School Transfer Certificate under Serial No. 340, Admission No. 282, dated 26-5-2003, issued by the Seventh-Day Adventist Higher Secondary School, Gandhi Nagar, Puducherry, my name has been entered as 'Hareesh @ Nagaraj. S'.

4 . I s t a t e t h a t in my Bachelor of Technology- Degree Certificate under Registration No. 243475033, dated 27-5-2011 issued by the Pondicherry University, my name has been entered as 'Hareesh alias Nagaraj. S'.

5. I state that in my Birth Certificate issued by the Pondicherry Municipality bearing No. C/1984/ 02137, dated 14-11-2007, my name has been entered as 'Hareesh @ Nagaraj'.

6. I state that in my Aadhaar Card bearing No. 8016 3960 8236, dated 14-9-2015, my name has been entered as 'Hareesh Nagaraj. S' and (in Tamil) as ''.

7. I state that in my Passport bearing No. G6929760, dated 2-1-2008, my name has been entered as 'Hareesh'.

8. I state that in my PAN Card issued by the Income Tax Department bearing the PAN No. AJJPN3433A, my name has been entered as 'Hareesh alias Nagaraj'.

9. I state that in my Electoral Identity Card issued by the Election Commission of India bearing No. KVY0666883, dated 29-1-2008, my name has been entered as 'Hareesh @ Nagaraj' and (in tamil) as '▪'.

10. I state that in my Driving Licence bearing No. 20055901, dated 8-6-2005, my name has been entered as 'Hareesh @ Nagaraj'.

11. I state that in my Marriage Certificate issued by the Department of Panchayats, Government of Kerala bearing the Certificate No. 813/2013, dated 24-6-2013, my name has been entered as 'Hareesh @ Nagaraj. S'.

12. Further, I state that in my Family Ration Card issued by the Department of Civil supplies and the Consumer Affairs, Puducherry bearing Card No. 060044, dated 15-7-2006, my name has been entered as 'Hareesh @ Nagaraj' and in Tamil as '▪'.

I declare that all the above names 'Hareesh alias Nagaraj. S', 'Hareesh Nagaraj. S', 'Hareesh', 'Hareesh @ Nagaraj. S' and 'Hareesh @ Nagaraj'are refer to one and the same persons i.e., myself only.

Further, I submit that hereafter, I will use my name as 'Hareesh Nagaraj' and (in Tamil) as ' ▪ '. I am swearing this affidavit for the purpose of avoiding confusion for the identity of my name and person.

I state that what are all stated in the above paragrap hs is tr ue and corr ect to the best o f my Knowledge, belief and information.

In witness whereof, I have hereinto subscribed my name/surnames and affix my signature of my name/surname as 'Hareesh Nagaraj' on this 10th day of October 2017.

Solemnly affirmed and signed before the Notary Public at Puducherry on this 10th day of October 2017.

My name mentio ned as 'Santho shkumar ' in my Aadhaar Card, PAN Card, Driving Licence and State Bank of India Passbook.

But, my name is mentioned as 'Santhosh' in my Birth Certificate and in the Family Ration Card.

I declare that both names 'Santhoshkumar' and 'Santhosh' are refer to one and the same person i.e., 53950

S. HAREESH.

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myself only.

That my correct and proper name is ➢ 

       • ➢          ↔  (Joshila Murat)   ▪➢ ➢  ➢

 ▪ ➢ ▪   ▪ R/1973/ 00437- 'Joshila Murat' ▪ ▪▪ ' ↔  (Joshila Murat)' ▪      ▪     ▪ PY01/20160007654 'Joshila Murat' ▪  ▪  ➢     ▪  ▪ ➢ ' ' ▪➢  ▪ ➢ ➢  ➢  ▪      ' ↔(Joshila Murat)' ▪ ➢   ▪ ➢ ➢ ➢ ▪ • ▪   ▪  

     ➢ 53 95 5  ↔ .

————

AFFIDAVIT

I,Santhoshkumar son of Mohan residing at No. 40 and 41, sivasakthi Nagar, Amathi Nagar Extension, Iyyankuttipalayam, Puducherry-605 009 do hereby solemnly affirm and sincerely state as follows:

I am the deponent herein and I am well known the facts of my deposition

'Santhoshkumar' only.

I am making this affidavit for the proof of my name's identity and to be produced before the concerned authorities.

The above facts are true to the best of my knowledge and belief.

Solemnly affirmed and signed before the Notary Public at Puducherry, on this 19th day of September 2017.

53 95 7 M. SANTHOSHKUMAR

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AFFIDAVIT

I, Ajay Kumar, son of Joseph Marie Patrick, Christian, aged 26 years and residing at No. 5, Main Road, Kamban Nagar, Reddiyarpalayam, Puducherry-605 010, do hereby solemnly affirm and sincerely state as follows:

I declare that I am the permanent resident of Puducherry. My father Joseph Marie Patrick and my mother by name Anthoniammal got married on 18-10-1989 at Puducherry. Out of the lawful wedlock, I was born on 22-11-1990 and the said event of birth was duly registered with the Pondicherry Municipality vide Registration No. M/ 1990/10535 on 28-11-1990. The name 'Ajay Kumar' finds place in all my Government Records such as Driving Licence bearing No. PY 01 20090001278, Elector's Photo Identity Card b e a r i n g N o . U E B 0 0 7 7 8 7 5 , PAN C a r d b e a r i n g No. CGLPK0675C, Aadhaar Card bearing No. 6024 4748 1716, in my Passport No. J4047729 and in all my other Educational Certificates.

Fur ther, I d eclar e that no w, I have changed my aforesaid name 'Ajay Kumar' as 'Ajay' with surname as 'Patricks'. Hereafter, I shall be known only as 'Ajay Patricks' and I shall sign as 'Ajay Patricks'.

The 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 27th day of September 2017.

53 96 6

AFFIDAVIT

I, Muruganandhashivan, son of Murugan, aged 19 years, converted Muslim, residing at No. 48/2, Mariamman Kovil Street, Tirunagar, Karaikal, do hereby solemnly affirm and sincerely state as follows:

J. AJAY.

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AFFIDAVIT

I, Bharathi daughter of sangaran Pouchepa, aged 3 4 year s and r esid ing at the house b ear ing Doo r No. 14, Second Cross Street, Vambakeerapalayam, Puducher ry-6 05 001 , d o hereby solemnly and sincerely affrm, to whomsoever it may concern, as follows:

I am the deponent herein. I state that in my Certificate of Birth register ed with the Pondicherry Municipality under Registration No. C/198 3/0 208 1, Electo r 's Photo Id entity Card under No. JWW0189779 and Aadhaar Card under No . 7 404 50 47 881 6, my name has been mentioned as 'Barathi'.

In my Tr ansfer Certificate under Admission No. 5406/2K, my name has been mentioned as 'Bharathi. S'.

In my Family Ration Card under No. 008577, my name has been mentioned as ''.

Further, I state that all the abovesaid names are refer, id entify and r elate to o ne and the same person that is myself the deponent herein.

Futher, I state that my Family name is 'Pouchepa'. As such I have changed my name as 'Bharathi Pouchepa'. Hereafter, I shall be known and identified with the family the name as 'Bharathi Pouchepa' for all purposes.

I state that what are all stated in the above p ar ag r ap hs i s t r u e a nd co r r e ct t o t he b e st o f my Knowledge, belief and information.

Solemnly and sincerely affirmed and signed before the Notary Public at Puducherry on this 12th day of October, 2017.

I was a Hindu by birth. My birth name was 'Muruganandha Shivan' Recently, I had embraced Islamic faith. Upon conversion of religion. I have renounced my birth name 'Muruganandhashivan' and assumed to myself the Muslim name 'Mubarekali ()'.

I hereby declare that I shall henceforth be known, called, referred and identified only as 'Mubarekali ()'.

Solemnly affirmed and signed before the Notary Public at Karaikal on this 27th day of September 2017.

Ack. No. 424 MURUGANANDHASHIVAN.

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AFFIDAVIT

I, Murugan, son of Pichaimuthu, aged 42 years, converted Muslim, residing at No. 48/2, Mariamman Kovil Street, Tirunagar, Karaikal, do hereby solemnly affirm and sincerely state as follows:

I was a Hindu by birth. My birth name was 'Murugan', recently, I had embraced Islamic faith, pon conversion of religion, I have renounced my birth name 'Murugan' and assumed to myself the Muslim name ' (Abthulah)'.

I hereby declare that I shall henceforth be known, called, referred and identified only as 'Abthulah ()'.

Solemnly affirmed and signed before the Notary Public at Karaikal on this 27th day of September 2017.

Ack. No. 425 P. MURUGAN.

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AFFIDAVIT

I, Laila, wife of Murugan, aged 38 years, converted Muslim, residing at No.48/2, Mariamman Kovil Street, Tirunagar, Karaikal, do hereby solemnly affirm and sincerely state as follows:

53968

S. BHARATHI.

I was a Hindu by birth. My birth name was 'Laila'. Recently, I had embraced Islamic faith. Upon conversion of religion, I have renounced my birth name 'Laila' and assumed to myself the Muslim name 'M. Lailaa (M. )'.

I hereby declare that I shall henceforth be known,

Solemnly affirmed and signed before the Notary called, referred and identified only as 'Lailaa'.

Public at Karaikal on this 27th day of September 2017.

Solemnly affirmed and signed before the Notary

Ack. No. 427 M. .

Public at Karaikal on this 27th day of September 2017.

————

Ack. No. 426 M. .

AFFIDAVIT

————

I, Ummasaluma, wife of Hadja Mohamed Sadick, aged AFFIDAVIT

43 years, residing at No.7, Bharathidasan Nagar, I, Laila, wife of Murugan, aged 38 years, converted

Puduthurai Road, Karaikal, do hereby solemnly affirm Muslim, residing at No. 48/2, Mariamman Kovil Street,

and sincerely state as follows:

Tirunagar, Karaikal, do hereby solemnly affirm and

My minor son's birth name is 'Pervesh'. I have sincerely state as follows:

changed my son's name as 'Farvesh'.

My minor son was a Hindu by birth. His birth

I hereby declare that my son relinquish and give name was 'Leksonakash'. I had renounced my son's

up his birth name 'Pervesh' and he shall henceforth religion of birth and my said son embraced Islam.

be known, called, referred and identified only as

'Farvesh'.

Pursuant to conversion, I have changed my son's name as 'Asaraf Ali (→)'.

I hereby declare that my son relinquish and give

Solemnly affirmed and signed before the Notary up his birth name 'Leksonakash' and he shall Public at Karaikal on this 4th day of October 2017.

henceforth be known, called, referred and Identified only as 'Asarafali (→)'.

Ack. No. 428 H. .

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