Puducherry Gazette, No. 45, 07 November 2017

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Registered No. SSP/PY/44/2015-17 Registered with the Registrar of Newspapers for India under No. 10410

WPP No. TN/PMG(CCR)/WPP-88/2015-17

Dated : 7-11-2017

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   La Gazette de L' État de Poudouchéry The Gazette of Puducherry

➢➢ Publiée par Autorité Published by Authority   ` 14-00 Prix : ` 14-00 Price : ` 14-00 ▪  ➢ 2017 }  | 7 {

No. 45 Poudouchéry Mardi 7 Novembre 2017 (16 Kartika 1939)

No. Puducherry Tuesday 7th November 2017

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

Page  Page

➢ .. 1 2 2 0 Sentence arbitral du travail .. 1 2 2 0 Award of the Labour Court .. 1 2 2 0

de tribunal.

• .. 1 2 2 6 Notifications du Gouvernement .. 1 2 2 6 Government Notifications .. 1 2 2 6  .. 1 2 2 7 Avis d'Adjudications .. 1 2 2 7 Tender notices .. 1 2 2 7  .. 1228 Etablissements dangereux .. 1228 Dangerous Establishments .. 1228

.. 1 2 3 1 Announcements .. 1 2 3 1  .. 1 2 3 1 Annonces

[1219]7 November 2017] LA GAZETTE DE L'ETAT 1231 Sl. Name and address Address of the Industry Power No. of No. of the applicant

(1) (2)

(3) Thiru/Tmt./Selvi:

industry site proposed required workers (4) (5) (6) 1 C. Kevin Sadjiv, M/s. Atslaha Ind, Non Woven bags 15 H.P. 10 Partner, Re-survey No. 2, and cotton bags. (Shift-I).

No. 10, Caron Street, Plot Nos. 11 and 12, Puducherry-605 001. Door No. 202,

CAD No. 3,

Kurumbapet,

Villianur Commune Panchayat,

Puducherry.

2 A. Asif Shaik Mohideen, M/s. ASM Industries, Disposable plastic 128 H.P. 8 No. 21, 1st Cross, Plot No. A-72, cups.

Rainbow Nagar, PIPDIC Industrial Estate,

Puducherry-605 011. Sedarapet,

Villianur Commune Panchayat,

Puducherry.

(Shift-I).

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 industries are invited to reach the Commissioner, 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 the Villianur Commune Panchayat.

D. ARUMUGAM,

AFFIDAVIT

I, Karthik alias Nallasivam, son of Viswanathan, Hindu by religion, aged 24 years and residing at the house bearing Door No. 10, Vallalar Street, Nagammal Nagar, 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 issued by the Pondicherry Municipality registered under Registration No. M/ 1993/0 98 3 3 and in my Electo r al I d entity Car d under No. ATT0043414 issued by the Election Commission of India, my name has been mentioned as 'Karthik @ Nallasivam'.

In my Transfer Certificate issued by the Principal, Fatima Higher Secondary School under Admission No. 4491, my name has been mentioned as 'Karthik @ Nallasivam.V'.

Commissioner. In my Aadhaar Card under No. 5446 9331 3194, my name has been mentioned as 'V.Karthik alias Nallasivam.'

In my Driving Licence under No. PY01 20130010950 issued by the Assistant Licensing Authority, Puducherry, my name has been mentioned as 'Karthik alias Nallasiva M'.

In my Family Ration Card under No. 055124 issued by the Department of Civil Supplies and Consumer Affairs, Puducherry, my name has been mentioned as '▪'.

T her efor e, I do her eby state that all the abovesaid names are refer, identify and relate to one and the same person that is myself the deponent herein. Hereafter, I shall be known and identified only by the name 'Karthik Nallasivam ()' 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 17th day of October 2017.

53 99 0 V. KARTHIK.

————

AFFIDAVIT

I, K. Ammamuthu, wife of Kuzhanthaivel, aged about 32 years, residing at No. 26, Perumal Koil Street, Karaikalmedu, Karaikal, do hereby solemnly declare and state on oath as follows:

I hereby state that my name is 'Ammamuthu' and the same is mentioned in my Birth Certificate issued by the Kottucherry Commune Panchayat, Kottucherry vide Registration No. 159, date of Registration 10-6-1985, my name is mentioned as 'Ammamuthu' and in my Marriage Certificate issued by the Karaikal Municipality, Karaikal vide Registration No. 419DM/2010, dated 2-11-2010, my name is mentioned as 'Ammamuthu', in my Aadhaar Card vide Card No. 4650 4004 4884 issued by the Government of India, my name is mentioned as 'Ammamuthu ()', whereas, my name is mentioned as '' in our Family Ration Card issued by the Department of Civil Supplies and Consumer Affairs, Karaikal vide Sl. No. 194357.

I declare that henceforth, I will be called, known and sign my name as 'Ammamuthu' only. Hence, this affidavit is made to prove my change of name.

The above particulars are true to the best of my knowledge, belief and trust, and nothing has been concealed thereon.

Solemnly affirmed and signed before the Notary Public at Karaikal, on this 20th day of October 2017.

53 99 6 K. .

I submit to state that my name is mentioned a s ' D h a n a n j e ya n ' i n my s o n E yu v a r a j 's B i r t h C e r t i f i c a t e i s s u e d b y t h e P o n d i c h e r r y M un ic ip al it y vi d e Re gi st r at io n N o . M / 2 0 0 3 / 0 39 9 9, d at ed 3 -4 -2 0 0 3 .

I submit to state that my name is mentioned as 'Dhananjayan' in my another son Sab harish S r i n i v a s 's B i r t h C e r t i f i c a t e i s s u e d b y t h e P o n d i c h e r r y 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 No . M/ 2 0 0 4 /0 3 6 9 5 , d a ted 5 -4 -2 0 0 4 .

I submit to state that my name is mentioned as 'Dhananjayan', in my Aad haar Car d issued by the Unique Identification Authority of India, vid e N o . 8 5 7 1 2 0 4 3 0 8 2 1 .

I submit to state that my name is mentioned a s ' D h a n a n j a ya n ' 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 i s s u e d b y t h e E l e c t i o n Commissio n of I nd ia, vid e No . GKY06 3 34 04 .

I submit to state that my name is mentioned as 'Dhananjayan' in my son Eyuvaraj's Aadhaar C a r d i s s u e d b y t h e U n i q u e I d e n t i f i c a t i o n Author ity of Ind ia, vid e No. 33 05 270 0 502 8.

I submit to state that my name is mentioned a s ' D h a n a n j a ya n S ' i n my S a v i n g s Ac c o u n t P assbo o k issued b y the Unio n Bank o f Ind ia, Puducherry vide Account No. 379502010006217.

I declare and state that the above names 'Dhananjeyan', 'Dhananjayan' and 'Dhananjayan S' are refer to one and the same person they denote me i.e., myself only.

Henceforth, I will be called and known as 'Dhananjayan' only.

The above deposition is true and correct to the best of my knowledge and belief.

Signed before the Notary Public at Puducherry, on this 24th day of October 2017.

53997

S. DHANANJAYAN.

————

AFFIDAVIT

————

➢ 

I, S. Dhananjayan, son of Sinuvasan, aged 46 years, residing at No. 47, 3rd Cross Street, Lakshmi Nagar, Chinnayan pet, Saram Post, Puducherry-605 013, do hereby solemnly affirm and sincerely state on oath as follows:

That I am the deponent herein and I know all this facts of my deposition well.

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

▪ ➢ ▪   ▪  P  'Jeanine Suzanne Augustine' ▪ ▪▪ '➢↔  (Jeanine Suzanne Augustine)' ▪▪    ▪ PY ' (Mari)' ▪ ▪ ➢ ▪ 359275 ▪➢ '' ▪▪Madheen   ▪Arokiadass, Rajesh ▪➢ 'Mary' ▪➢  ▪  ➢ ➢  ➢  ▪        '➢↔ Jeanine Suzanne Augustine)' ▪

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

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



————

AFFIDAVIT

4. In the Trust Deed registered in the name ' B h a i i 's M i s s i o n A s hr a m ' r e g i s t e r e d a t t h e Sub-Registrar Office, Puducherry under Registration No. 255/2006, dated 16-3-2006.

5. In my Indian Passport No. G6929850 issued by the Regional Passport Office, Chennai.

I state that my name is entered as '' in our Family Ration Card No. 154142 issued by the Department of Civil Supplies and Consumer Affairs, Puducherry.

I state that now, I have changed my name as 'Shreemad Maharshi Shri Shri Kamal Mahaprabhu' instead of 'Kunwar Kamal Bhaii' and I do not possess any evidence for the documentary proof in support of my changed name.

I state that the abovesaid names as 'Shreemad Maharshi Shri Shri Kamal Mahaprabhu', and 'Kunwar Kamal Bhaii' are refer to one and the same person, i.e., myself only.

I state that I made this affidavit in lieu proof of identity of my adopted name as 'Shreemad Maharshi Shri Shri Kamal Mahaprabhu'.

I take oath and solemnly declare/affirm that the particulars furnished by me above are correct and that I have not concealed or misrepresented any facts.

Solemnly affirmed and signed before the Notary Public at Puducherry, on this 23rd day of October 2017.

54 00 0 KUNWAR KAMAL BHAII

————

➢ 

I, Kunwar Kamal Bhaii, son of Ramakanta Mallik (late), Hindu, aged about 44 years and residing at Bhaii's Mission Ashram, Eternal House, No. 34, Goubert Padasalai Street, Vazhaikulam, Puducherry-605 003, do hereby solemnly affirm and declare as follows:

I state that I am the deponent herein and I am well aware of the facts of this deposition.

I state that my name has been mentioned as 'Kunwar Kamal Bhaii' in the following documents.

1. In my Aadhaar Card No. 7146 3189 1701 issued by the Unique Identification Authority of India.

2. In my Elector's Photo Identity Card No. HJN0211466 issued by the Election Commission of India.

3. In my PAN Card No. ALKPB5525A issued by the Income Tax Department, Government of India.

        , ,  ,   ➢,   ➢    ▪(Panchavarnam alias Ruth)   ▪➢ ➢  ➢

▪ ➢ ▪    ▪    ' (Panchavarnam)' ▪, ▪    ▪ PY/ 01/020/087282- ' (Panjavarnam)' ▪,▪➢      ▪ ▪➢ ''▪,▪   ▪ ➢ 'G.  ▪ ' ▪, ▪      ▪ ➢1 23 4 LA GAZETTE DE L'ETAT [7 November 2017 'Panchavarnam. G. Ruth' ▪  ▪  ▪▪➢ '' ▪   ➢  ▪ ➢ ➢  ➢  ▪      ' ▪  (Panchavarnam alias Ruth)' ▪ 

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

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

————

AFFIDAVIT

I, Ganapathy, son of Ranganathan, Hindu, aged 45 years, residing at No. 3, 1st Cross Street, Sivagami Nagar, Ko t taimed u, Ar iyanku p p am, P u d uche r r y- 6 0 5 0 0 7 do hereby solemnly and sincerely affirm and state as follows:

I am the deponent herein and I am well aware of the facts of my deposition.

I state that in my Aadhaar Card, Voter's Identity Card, in my daughter 's Birth Certificate and in my son's Birth Certificate, my name is m e n t i o n e d as 'Ganapathy'.

I state that in my Birth Certificate, my name is mentioned as 'Peroumal'.

I solemnly affirm and declare that the names 'Ganapathy' and 'Peroumal' are refer to one and the same person that is myself only. Hereinafter, I shall be called by the name 'Ganapathy @ Peroumal'.

I state that what are all stated above is true to the best of my knowledge, belief and information, and nothing material facts have been suppressed herein.

Solemnly and sincerely affirmed and signed before the Notary Public at Puducherry, on this 24th day of October 2017.

113005 R. GANAPATHY.

AFFIDAVIT

I, Anuradha Barath, daughter of Chandran, wife of Barath, aged 39 years, residing at No. 7, Millennium S t r e e t , B h a r a t h i M i l l R o a d , M u d a l i a r p e t , Puducherry-605 004, do hereby solemnly declare and affirm on oath as follows:

I state that I am the deponent herein and I am well aware of the facts of this deposition.

I state that my name has been mentioned as 'Anuradha' and the surname as 'Barath' in my British Passport No. 307926548 issued by the United Kingdom of Great Britain and Northern Ireland.

I state that my name has been entered as 'Anuradha', daughter of Chandran in the following documents:

1. In my Birth Certificate under Registration No. P/1978/1870, dated 1-4-1978 issued by the Pondicherry Municipality, Puducherry.

2. In my Aadhaar Card No. 5849 3469 8765 issued by the Unique Identification Authority of India.

3. In my PAN Card No. BMPPA2114P issued by the Income Tax Department, Government of India.

4. In my Voter 's Identity Card No. DNX0403899, dated 24-3-2001.

Further, I state that in my B.Sc. Degree Certificate issued by the Pondicherry University, Puducherry, my name is mentioned as 'Anurada. C'.

I do hereby declare that all the above names 'Anuradha surname Barath', 'Anuradha', daughter of Chandran and 'Anurada. C' are denote one and the same person i.e., myself only.

Further, I state that my correct name and my name henceforth be known as 'Anuradha surname Barath' only.

I am making this affidavit to publish my correct name as 'Anuradha surname Barath'.

I take oath and solemnly declare/affirm that the particulars furnished by me above are correct and that I have not concealed or misrepresented any facts.

Solemnly affirmed and signed before the Notary Public at Puducherry, on this 24th day of October 2017.

113006 ANURADHA BARATH. ———— CHANGE OF RELIGION

I, Santhi, daughter of Krishnamoorthy, Indian, aged about 43 years, residing at No. 50, Beach Road, Bharathi Nagar, First Cross, Karaikal, do hereby solemnly affirm and sincerely state as follows:

I am a Hindu by birth. My birth name was 'Santhi'. I had renounced my religion of birth and embraced I s la m. P ur su ant to c o nv er s io n , I h a ve ch an ge d my name as 'Saaliha ()'.

I hereby declare that I relinquish and give up my birth name 'Santhi' and I shall henceforth be known, called, referred and identified only as 'Saaliha ()'.

Solemnly affirmed and signed before the Notary Public at Karaikal, on this 24th day of October 2017.

113010 K. SANTHI.

————

AFFIDAVIT

I, Ramesh Babu. C. P., Son of Kunhi Raman.C.P, aged 61 yea r s, residing at 5/263, Chelleth House, Manjakkal, Mahe, do hereby solemnly affirm and state as follows:

1. I swear and state that my father Kunhi Raman.C.P. holder of Livert De Famille (Family Book) No. 29, issued by the Mahe Municipality, Mahe. In French, my father 's name is entered as 'Cougn Parambette Pohil Cougnyramin'.

2. I swear and state that in my Secondary School Leaving Certificate vide Register Nos. 3085 of 1972 March/September and 28201 of 1972 April/ September issued by the B oar d o f P ublic Examinations, Kerala, my father's name is entered as 'Kunhiraman.C.P.'.

3. I swear and state that I am the holder of PAN Card vide No. AADPC3272D, my father's name is entered as 'C.P.C. Raman'.

4. 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 my father only.

5. I swear and state that my father 's correct name is 'Kunhi Raman.C.P.'. Therefore, I swear this affidavit, fo r knowledge o f my r elatives, fr iends, officials concerned and others that hereinafter, he will be kno wn only as 'Kunhi Raman.C.P' for all purposes and intends after the publication in the Gazette.

All this is true.

Solemnly affirmed and signed before the Notary Public at Mahe, on this 18th day of October 2017 at Mahe.

113012 RAMESH BABU. C.P.

AFFIDAVIT

I, Jayachithra, daughter of Magalingame and wife of Sundaramoorthy, aged 42 years and residing at the house bearing Door No. 2, East Street, Pettai, Thirunallar, Karaikal-609 607, 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 registered with the Thirunallar Commune Panchayat under Registration No. T/1975/223, my name has been mentioned as 'Djea'.

In my Transfer Certificate under Admission No.1715, issued by the Principal, Government Girls' Higher Secondary School, Thirunallar, my name has been mentioned as 'Djea.M'.

In my Marriage Certificate under No. 5400/2001 A3, my name has been mentioned as 'S. Jayachitra'.

In my Electoral Identity Card under No. GWQ0235903, my name has been mentioned as 'Jaya (➢↔)'.

In my Aadhaar Card under No. 7180 0678 3943, my name has been mentioned as 'Jaya. S (➢↔•)'.

In my husband Sundaramoorthy's Serving Certificate, my name has been mentioned as 'M. Chitra'.

In my elder son Anandhakumar's Certificate of Birth registered under Registration No. T/1995/176, my name has been mentioned as 'Jayachitra'.

In my younger son Subash Chandrabose's Certificate of Birth under Registration No.5, my name has been mentioned as 'S. ➢↔'.

In my Family Ration Card under No. 219063, my name has been mentioned as '➢↔▪➢↔'.

I state that all the abovesaid names are refer, identify and relate to one and the same person that is myself the deponent herein.

Hereafter, I shall be known and identified only by the name as 'S. Chitra (•)' for all purposes.

I state that what are all stated in the above pa r a g r ap h s i s t r u e a nd c o r r ec t to t he b e s t o f my knowledge, belief and information.

Solemnly and sincerely affirmed and signed before the Notary Public at Puducherry, on this 24th day of October 2017.

113013

S. ➢↔.

AFFIDAVIT

I, Gowdham Ram, son of Gopalakrishnan, aged 21 years, Hindu, Indian, residing at No. 29, Agraharam Street, Sethur, Karaikal, Union territory of Puducherry, do hereby solemnly affirm and sincerely state on oath as follows:

I am the deponent herein and I am very well aware of my deposition.

I swear that I was born on 17-3-1996 which has been duly registered under Registration No. K/ 1996/0 0 7 1 7 i n t h e K a r a i k a l M u n i c i p a l i t y i n w h i c h my n a me h a s b e e n r e c o r d e d a s 'Go wd ham Ram' as w e l l a s 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 No. UR10078444 issued by the Election Commission of India, in my Aadhaar Card No. 3075 9552 9310 issued by the Unique Identification Authority of India, in my Driving Licence No. PY02 20150001248 issued by the Transport Authority, Karaikal and in my Educational Records, such as in my Provisional Certificate, Folio No. AUU1017040 issued by the Anna University, Chennai and in my Transfer-cum- Conduct Certificate Folio No. 4827 issued by the DSCET College and whereas, my name has been recorded as '➢' in my Family Ration Card No. 205799 issued by the Department of Civil Supplies and Consumer Affairs, Karaikal. Hence, the names 'Gowdham Ram' and '➢' are refer to and denote one and the same person i.e., myself. Now, I intend to change my name as 'Vinay Gowtham Raam' due to my personal accord and decision. Hereafter, I will be called as 'Vinay Gowtham Raam' only.

I am the deponent herein. I swear this affirmation on behalf of my minor daughter 'Miithrra Mohan'.

I s t a t e t h a t i n t h e C e r t i f i c a t e o f B i r t h o f my daughter issued by the Greater Chennai Corporation registered under Registration No. COC/2003/07/109/000644/0, her name has been mentioned as 'Nikita Deshmukh'.

In the Transfer Certificate under Admission No. 210314 issued by the Principal, St. Patrick Matriculation Higher Secondary School, Puducherry and in the Aadhaar Card under No. 2819 5394 4522 issued by the Unique Identification Authority of India, her name has been mentioned as 'Miithrra Mohan'.

In the Family Ration Card under No. 132588, issued by the Department of Civil Supplies and Consumer Affairs, Puducherry, her name has been mentioned as ''.

Therefore, I do hereby state that the said names 'Nikita Deshmukh', 'Miithrra Mohan' and ' ' are refer, identify and relate to one and the same person that is my said minor daughter only. I state that hereafter, my daughter shall be known and identified only by the name 'Miithrra Mohan' 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 the 26th day of October 2017.

113015 SUBIIDHA RANGHAM.

————

➢ 

All the contents of the affidavit are correct, true and best of my knowledge, belief and information, and I have not concealed or misrepresented any facts.

Solemnly affirmed and signed before the Notary Public at Karaikal, on this 23rd day of October 2017.

113014 G. GOWDHAM RAM. ————

AFFIDAVIT

I, Subiidha Rangham, daughter of Ranga Sudhakar, aged 38 years and residing at the house bearing Door No. 34, Sixth Cross Street, Jawahar Nagar, Boomianpet, Nellithope, Puducherry-605 005, do hereby solemnly and sincerely affirm to whomsoever it may concern as follows:

       ➢    ➢   Sivasakthi  ▪➢ ➢  ➢ ▪  ➢ ▪   ▪ M/ ▪ ▪'Sivasakthi' ▪ ▪▪TLS 'Sivasakthi'▪▪ ▪'Sivasakthi' ▪  ▪    ➢ ▪  ▪ ➢ '➢' ▪7 November 2017] LA GAZETTE DE L'ETAT 1237   ➢  ▪ ➢ ➢  ➢▪ '(Sivasakthi)' ▪ 

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

   30  ➢

AFFIDAVIT

I , Ej oumale, so n o f Sinnathamb i, Hind u, aged about 59 years, residing at No. 35, New Street, Sanarapet, Mutharayarpalayam, Puducherry-605 009, do hereby solemnly affirm and state as follows:

I am the deponent herein.

113021

S. SIVASAKTHI.

————

➢ 

        , , ,,➢  (A. Antoine Kittery)   ▪➢ ➢  ➢

▪ ➢ ▪▪ M/1983/ 02835 ▪  'Antoine Kittery'▪, ▪▪ 'Antoine Kittery. A'  ▪ ▪   ▪' (A. Antoine Kittery)'▪,▪   ▪ HKD0312025 '   (Antoine Kittery)'  ▪    ➢      ▪  ▪   ➢ '' ▪   ➢  ▪ ➢ ➢  ➢  ▪      '    (A. Antoine Kittery)' ▪     ,           ➢                               ▪    ➢     ➢ ➢ ▪ • ▪ ▪ 

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

I state and declare that I was born at Puducherry and my birth was duly registered before the Competent Authority of Puducherry and at the time of birth, I had been named as 'Ejoumale' and the name is e n t e r e d s u c h a s i n m y B i r t h C e r t i f i c a t e . (Registration No. 0/1957/00606, dated 16-11-1957). Whereas, in my Service Record, my name is spelled as 'Elumalai' and in my Aadhaar Card, my name is mentioned as 'Ezhumalai'. (No. 8628 4032 3909). In the Voter's Identity Card, it is mentioned as 'Ezhumalai' (No. PY/01/019/009454), my name is mentioned as '' in my Family Ration Card No. 43579.

T her efo r e, I swear and affir m that the said my name with different spellings are 'Ezhumalai', 'Ejoumale', 'Elumalai and '' are referring one and the same person i.e., myself and not any other person. Thus, I am executing this affidavit in this regard, I have not concealed any real facts.

I state that hereafter, I shall be known and identified only by the name 'Ezhumalai ()' for all purposes.

Solemnly affirmed and signed before the Notary Public at Puducherry, on this 30th day of October 2017.

113024 S. ELUMALAI. ———— AFFIDAVIT

I, Mathivathani, wife of Murugaiyan, residing at No. 6, 3rd Cross Street, Rainbow Nagar, Nonankuppam, Ariyankuppam Commune Panchayat, Puducherry-605 007, do hereby solemnly affirm and sincerely state on oath as follows:

That I am the deponent herein and I know all this facts of my deposition well.

I submit to state that my name is mentioned as 'Madivadani' in my Birth Certificate issued by Bahour Commune Panchayat, Bahour, Puducherry vide Registration No. 381, dated 7-11-1977.

I submit to state that my name is mentioned as 'Mathivathani'in my Electoral Identity Card issued by Election Commission of India vide Card No. PY/01/013/000602 and in my Aadhaar Card issued by Unique Identification Authority of India vide Card No. 7593 2970 5591.

I submit to state that my name is mentioned as '' (in Tamil) in my Family Ration Card issued by Department of Civil Supplies and Consumer Affairs, Puducherry, vide Card No. 317427.

The above-mentioned names 'Madivadani', 'Mathivathani' and '' are one and the same person i.e., myself only.

Fur ther, I declar e that I may b e called o nly as 'Mathivathani'in future.

I take oath and solemnly declare/affirm that the above information furnished by me is correct and that I have not concealed or misrepresented any facts on the above matter.

Signed before the Notary Public at Puducherry, on this 31st day of October 2017.

113027 M. MATHIVATHANI.

————

AFFIDAVIT

I , Na ze r a B eg a m, wif e o f Ab d u l Su b a n, a ge d 37 years and residing at No. 27, Arun Shangar Nagar, Annusamy Vaikal Street, Karaikal-609 602, Puducherry State, do hereby solemnly affirm and state as follows:

1. I am swearing this affirmation for and on behalf of my son 'Fackurudeen Ali Ahamed' who is minor, aged 17 years. I am the natural guardian of 'Fackurudeen Ali Ahamed'.

2. I swear and state that in my son's Bir th Certificate issued by the Registrar of Births and Deaths, Po ndicher ry Municipality vide Certificate Registration No. C/2000/00295, his name is entered as 'Fackurudeen Ali Ahamed'.

3. I swear and state that in my son's Aadhaar Card No. 2496 4151 7012, his name is entered as 'Fackurudeen Ali Ahamed' issued b y the Unique Identification Authority of India.

4. I swear and state that in my son's Secondary School Examination vid e Roll No. 500 19 60 issued b y the Dep artment of Go ver nment Examinations, Chennai, his name is entered as 'Fackurudeen Ali Ahamed A'.

5. I swear and state that in my son's Transfer Cer tificate , Ser ial No . H0 0 8 /2 0 1 7 4 issued b y St. Marys Higher Secondary School, Karaikal, his name is entered as 'Fackurudeen Ali Ahamed. A'.

6. I swear and state that in my son's Higher S e c o n d a r y S c h o o l E x a m i n a t i o n v i d e R o l l No . 59 682 0 issued by the Depar tment of Government Examinations, Chennai, his name is entered as 'Fackurudeen Ali Ahamed A'.

7. I swear and state that in my Family Ration Card vide No. 211980 issued by the Department of Civil Supplies and Consumer Affairs, Karaikal, my son's name is entered as ''.

8 . I swear and state that I intent to change m y s o n 's n a m e a s ' A . B a k r u d e e n A l i A h a m e d (A.'.Therefore, I swear this affidavit for knowledge of my relatives, friends, officials concerned and others. Hereinafter, my so n will be known only as 'A. Bakrudeen Ali Ahamed (A.' in all purpose and intends after the publication of the Official Gazette of Puducherry.

9. 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 affirmed and signed before the Notary Public at Karaikal, on this 21st day of September, 2017.

Ack. No. 429   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