Amﬂºƒˆ \VWÈ ∂´E>µ

La Gazette de L' État de Poudouchéry

The Gazette of Puducherry

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Publiée par Autorité

Published by Authority

ÿ√VÚ·¶¬ÔD

SOMMAIRES

CONTENTS

√¬ÔD

Page

∂´∑ ∂§s¬ÁÔÔ^

Notifications du Gouvernement

Government Notifications

Œ©√ ∂§s©AÔ^

Avis d’ appel d’ offres

Tender notices

g√›>V™ WÆk™∫Ô^

Etablissements dangereux

Dangerous Establishments

ƒVu≈§¬ÁÔÔ^

101

Annonces

.. 101

Announcements

101

Registered with the Registrar

of Newspapers for India

under No. 10410

Registered No. PY/44/2021-23

[ 89 ]

®ı

Amﬂºƒˆ

ÿƒÀkVF¬˛wÁ\

2021 }

∏©´kˆ | 23 {

No.

Poudouchéry

Mardi

Février

2021 (4 Phalguna 1942)

No.

Puducherry

Tuesday

23rd

February

2021

101

23 February 2021]

LA GAZETTE DE L’ETAT

AFFIDAVIT

I, Dhivya, daughter of Muruganandam, Indian,

aged 24 years, residing at No. 17, Pudhuthurai Road,

Udhayam Garden, Karaikal Town and District Munsifi,

do hereby solemnly affirm and oath as follows:

1. In my Birth Certificate registered with the

Karaikal Municipality, Karaikal, with Registration

No. K/1996/01355, dated 14-05-1996, my name has

been entered as ‘Dhivya’.

2. In the Family Ration Card No. 430102 issued by

the Department of Civil Supplies and Consumer

Affairs, Karaikal, my name has been entered as

‘]ÀBV’.

3. I am a Hindu by birth and embrassed Islam later

and assumed the name as ‘Aasika Begam

(gEÔVº√ÔD)’.

4. In my Conversion Certificate issued by the

Government Kazi, dated 21-01-2021, my name has

been entered as ‘Aasika Begam (gEÔVº√ÔD)’.

5. The above mentioned names ‘Dhivya’, ‘]ÀBV’,

‘Aasika Begam’ and ‘gEÔVº√ÔD’ are referred and

denoting one and the same person i.e., myself.

6. I do hereby declare that to avoid confusion in

my name, I renounce my birth name ‘Dhivya’ and

hereinafter, I may be called, known and distinguished

by the assumed name of ‘Aasika Begum (gEÔVº√ÔD)’

alone.

Solemnly affirmed and signed before the Notary Public

at Karaikal, on this 29th day of January 2021.

466312

M. DHIVYA.

————

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‘Angalamma’ ®[ÆD, ®™m g>VÏ ∂Á¶BV· ∂‚Á¶

®ı 2351 9669 4945á_ ‘∂∫ÔV·D\V (Angalamma)’

®[ÆD, ®™m PAN ∂‚Á¶ ®ı CWSPA3806J-_

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∏≈©Aﬂ ƒV[§>µ √]° ®ı E/2013/00614-_ ®™m

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MHN0405677-_ ‘Anusha. A’ ®[ÆD, ®™m ÿ√BÏ

ÿ>VaÈV·Ï mÁ≈BV_ kw∫Ô©√‚¶ ƒV[§>µ ®ı

1203/LO(WS)/GEN/2015-2016-_ ‘A. Anushya’ �ÆD,

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c›>´° kw¬z ®ı M.O.P. No. 346/2018-_

‘A. Anushya @ Agalammal’ ®[ÆD c^·m.

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ÂV[ ‘∂–∑BV (Anushya)’ ®[º≈ ∂Áw¬Ô©√|ºk[.

º�√Ω, ÂV[ ∂π›> cÆ]ÿ\Va ƒD√Õ>\VÔ

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466313

A. ANUSHYA.

————

AFFIDAVIT

I, Tadje Mariam, wife of Munver Khan, Muslim, about

65 years and currently residing at No. 140, Ambur Salai,

Puducherry-605 001, do hereby solemnly affirm and

sincerely state as follows:

That I am the deponent herein and I am well

known the facts of my deposition

1. That my name has been registered in my Birth

Certificate vide Registration No. P/1956/02674 issued

by the Pondicherry Municipality, Puducherry

as ‘Tadje Mariam’.

2. That my name has been given in my Aadhaar

Card No. XXXX XXXX 4508 issued by the Unique

Identification Authority of India as ‘Tadje Mariam

(>VÎ \ˆBD)’.

3. That my name has been recorded in my Family

Ration Card bearing No. 006821 issued by the

Department of Civil Supplies and Consumer Affairs,

Government of Puducherry as ‘>VÎ \ˆBD’.

4. That my name has been enrolled in my Elector’s

Photo Identity Card bearing No. IGW0120857 issued

by the Election Commission of India as ‘Tadje

Mariam (>VÎ \ˆBD)’.

102

LA GAZETTE DE L’ETAT

[23 February 2021

5. That my name has been entered in my Pension

Identity Card issued by the Department of Women and

Child Development, Government of Puducherry vide

Pension Payment Order No. 150093 as ‘\ˆBD ¨s’.

Hence, all the names such as ‘Tadje Mariam’, ‘>VÎ

\ˆBD’ and ‘\ˆBD ¨s’ are referred one and the same

person i.e., myself only. I furnish this affidavit

towards my names identity/proof and that all the

names are belonging and referred one and the same

person of myself only.

Hereafter, I shall be known and identified only by

the name ‘Tadje Mariam (>VÎ \ˆBD)’ 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 29th day of

January 2021.

466315

TADJE MARIAM.

————

AFFIDAVIT

I, Thahira Banu, daughter of Murugan, Muslim, aged

about 24 years and currently residing at No. 380,

Mahathma Gandhi Road, Muthialpet, Puducherry-605 003,

do hereby solemnly affirm and sincerely state as

follows:

That I am the deponent herein and I am well

known the facts of my deposition.

1. That my name has been registered in my Birth

Certificate vide Registration No. M/ 1997/07352

issued by Pondicherry Municipality, Puducherry

as ‘Kalyani’.

2. That my name has been given in my Aadhaar

Card No. XXXX XXXX 2997 issued by the Unique

Identification Authority of India as ‘M Kalyani

(\ Ô_BVË)’.

3. That my name has been recorded in my Family

Ration Card bearing No. 357741 issued by the

Department of Civil Supplies and Consumer Affairs,

Government of Puducherry as ‘Ô_BVË’.

4. That my name has been enrolled in my Elector’s

Photo Identity Card bearing No. IVT0066738 issued

by the Election Commission of India as ‘Kalyani

(Ô_BVË)’.

5. That my name has been entered in my Secondary

School Leaving Certificate issued by the Secretary,

State Board of School Examinations (SEC),

Tamil Nadu vide Register No. 1856685 as ‘Kalyani M’.

6. That my name has been registered in my Transfer

Certificate issued by the Principal, Sinnatha

Government Girls’ Higher Secondary School,

Puducherry vide Admission No. 5990 as ‘Kalyani. M’.

7. That my name has been recorded in my religious

Convertion Certificate C.C.No. 65:25/2020 issued by

the Government Town Kazi, Puducherry as ‘Thahira Banu

(>VN´V √V–)’.

Hence, all the names such as ‘Kalyani’, ‘M Kalyani’,

‘Kalyani. M’, ‘Thahira Banu, ‘\ Ô_BVË’, ‘Ô_BVË’

and ‘>VN´V √V–’ are referred one and the same

person i.e., myself only. I furnish this affidavit towards

my names identity/proof and that all the names are

belonging and referred one and the same person of

myself only.

Hereafter, I shall be known and identified only by the

name ‘Thahira Banu (>VN´V √V–)’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 19th day of

January 2021.

466316

M THAHIRA BANU.

————

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(Punidavalli)

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P/1966/00170á_ ‘Punidavalli’ ®[ÆD, ®™m g>VÏ

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®ı 623594á_ ‘V. Punidavalli’ ®[ÆD, ®™m

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AM>k^π’ ®[ÆD, �ÆD ®™m ÔðkÏ s¤BºƒÔÏ

∂kÏÔπ[ ÿ√BÚ¬z kw∫Ô©√‚¶ z|D√ cð°©

√∫ˇ‚| ∂‚Á¶ ®ı 410066á_ ®™m ÿ√BÏ

‘AM>k^π’ ®[ÆD, z§©∏¶©√‚|^·m. º�Ôı¶

ÿ√BÏÔ^ ∂Á™›mD ®[–Á¶B ÿ√BÏÔ^>V[,

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ÂV[

‘AM>k^π

(Punidavalli)’

®[º≈

∂Áw¬Ô©√|ºk[.

103

23 February 2021]

LA GAZETTE DE L’ETAT

º�√Ω, ÂV[ ∂π›> cÆ]ÿ\Va ƒD√Õ>\VÔ

∞º>–D E¬Ô_Ô^ ∞u√‚¶V_ ®™m ÿƒVÕ> ÿƒÈs_

yÏ›m¬ÿÔV^ºk[

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cÆ]Bπ¬˛[º≈[.

Amﬂºƒˆ ƒV[ÆÁ´QÏ x[MÁÈl_ 2021ágD

gı|, ∏©´kˆ \V>D, 11ágD º>] ÁÔÿBV©√t¶©√‚¶m.

466317

V. AM>k^π.

AM>k^π.

————

AFFIDAVIT

I , Aswinkumar, son of Anbalagan, Hindu, aged

30 years and residing at No. 14, Sri Jayaram Nagar,

Chinnaiyanpet, Saram, Puducherry-605 013, do hereby

solemnly declare as follows:

I state that I am residing at the above stated

address. My name is entered as ‘Aswin Kumar’ in

my Birth Certificate bearing Registration No. C/1990/

01637 registered on 19-07-1990 and in my Elector’s

Photo Identity Card bearing No. UIJ0011742. Further,

I state that my name is entered as ‘Aswin Kumar’

in my Marriage Certificate bearing Certificate

No. 001332, dated 20-06-2016. In my Matriculation

Mark Sheet bearing Certificate No.0361125, dated

4-06-2005 and in my HSC Mark Sheet bearing

Certificate No. 2938516, dated 14-05-2007 and in my

Transfer and Conduct Certificate bearing Serial

No. 2555, dated 15-04-2011 and in my B.Tech., Degree

Certificate bearing Register No. 283175022, my name

is entered as ‘Aswin Kumar A’. Further, I state that

my name is entered as ‘Aswinkumar A’ in my Driving

Licence bearing No. PY01 20090001209. But, in my

Aadhaar Card bearing No. XXXX XXXX 4169, my

name is entered as ‘A Aswinkumar’. In the Family

Ration Card bearing No. 070576, my name is entered

as ‘∂¸s[ z\VÏ’.

Further, I declare that all the spellings of my

name viz., ‘Aswin Kumar’, ‘Aswin Kumar A’,

‘Aswinkumar A’, ‘A Aswinkumar’ and ‘∂¸s[ z\VÏ’

are referred one and the same person i.e., myself only.

Further, I declare and state that as per

numerological and sentimental reasons, I have

changed my name with additional new name as

‘Ashwin IA @ Mahendra’.

I also declare that my surname is ‘Mahendra’.

Hereafter, I shall be called, known and identified

by the name ‘Ashwin IA @ Mahendra’ for all my

future purpose. I shall use the name ‘Mahendra’ as

my surname in future.

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 24th day of December 2020.

466318

A. ASWINKUMAR.

AFFIDAVIT

I, Mohamed Rafeek, son of Azeem, presently working

at Kuwait, permanently residing at No. 74A, First Cross

Street, Sankaradoss Swamigal Nagar, Karuvadikupam,

Lawspet, Puducherry-605 008, do hereby solemnly and

sincerely affirm as follows:

That I am the deponent herein and I am well aware

of the facts of my deposition.

That my name is mentioned as ‘Mohamed Rafeek’

in my Elector’s Photo Identity Card No. RNV0047605

issued by the Election Commission of India.

That my name is mentioned as ‘Mohamed Rafeek’

in my son Abdul Fairoze’s Aadhaar Card under

No. XXXX XXXX 2935 issued by the Unique

Identification Authority of India.

That my name is mentioned as ‘Abdul Rafeelan’

in my son Abdul Fairoze’s Transfer Certificate under

No. 1198 issued by the Education Department,

Government of Puducherry.

That my name is mentioned as ‘Abdul Rafeelan’

in my son Abdul Fairoze’s Birth Certificate No. C/2001/

01206 issued by the Pondicherry Municipality,

Puducherry.

That my given name is mentioned as ‘Azeem

Mohamed Rafeek’ in my Passport No. M8390180

issued by the Regional Passport Office, Chennai.

That my name is mentioned as ‘´∏È[’ in our

Family Ration Card No. 000242 issued by the

Department of Civil Supplies and Consumer Affairs,

Puducherry.

I hereby declare that the names ‘Mohamed

Rafeek’, ‘Abdul Rafeelan’, ‘Azeem Mohamed Rafeek’

and ‘´∏È[’ are referred one and the same person

and they denote myself only.

Finally, I declare that my correct name is

‘Mohamed Rafeek’.

That the above particulars are true and correct to

the best of my knowledge and belief.

Signed before the Notary Public at Puducherry,

on this 10th day of February 2021.

466319

MOHAMED RAFEEK.

104

LA GAZETTE DE L’ETAT

[23 February 2021

AFFIDAVIT

I, Arunachalaeshwar, son of Nagappan, aged about

18 years and residing at No. 4, Vaikal Street, Thirupoor

Kumaran Nagar, Velrampet, Mudaliarpet, Puducherry-605 004,

do hereby solemnly and sincerely affirm on oath as

follows:

That I am the deponent herein.

I submit that my name is mentioned as

‘Arunachalaeshwar’ in my Birth Certificate in

Registration No. M/2003/00116 issued by Pondicherry

Municipality, Puducherry, Elector’s Photo Identity

Card No. IBI0231126, and in my Transfer Certificate

No. PY01P2108CERT000015739 issued by the

Directorate of School Education, Government of

Puducherry.

I submit that my name is mentioned as

‘N Arunachalaeshwar’ in my Aadhaar Card No. XXXX

XXXX 0871.

I submit that my name is mentioned as

‘∂ÚðVƒÈD’ in my Family Ration Card under

No. 365168.

Thus, all the names ‘Arunachalaeshwar’,

‘N Arunachalaeshwar’ and ‘∂ÚðVƒÈD’ are referred

one and the same person that is myself only.

Hereafter, I shall be known only by the name

‘Arunachalaeshwar (∂ÚðVﬂƒºÈikÏ)’.

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 up on all occasions whatsoever use and sign

the name of ‘Arunachalaeshwar (∂ÚðVﬂƒºÈikÏ)’

as my name in place and in substitution of my former

name.

Solemnly affirmed and signed before the Notary Public

at Puducherry, on this 15th day of February, 2021.

466322

N. ARUNACHALAESHWAR.

————

AFFIDAVIT

I , N. Datchanamurthy, son o f Narayansamy,

aged 58 years and residing at the house bearing

Door No. 4, Senthamizh Street, Jayamoorthy Raja Nagar,

Mudaliarpet, Puducherry-605 004, do hereby solemnly

and sincerely affirm to whomsoever it may concern as

follows:

That I am the deponent herein. I state that in my

Secondary School Leaving Certificate under Serial

No. 045472, my name has been mentioned as

‘Dakshnamoorthy.N’.

In my Secondary School Leaving Certificate under

S. No. A510164, my name has been mentioned as

‘Dakshinamoorthy.N’.

In my G.P.F. Accounts under No. POL2211, my

name has been mentioned as ‘Dakshnamoorthy.N’.

In my Employee Identity Card under Sl. No. 7270,

my name has been mentioned as ‘N. Datchanamurthy’.

In the Office Order under No. G.26016/1/

S&P/2019-20, my name has been mentioned

as ‘N. Dakshnamoorthy’.

In my Elector’s Photo Identity Card under

No. PY/01/012/021264 and in my Aadhaar Card

under No. XXXX XXXX 8640, my name has been

mentioned as ‘Datchanamurthy (>‚ƒðVJÏ›])’.

In my PAN Card under No. ADFPN0884P, my

name has been mentioned as ‘Datchanamurthy’.

In my Driving Licence under No. PY01 19900000769, my

name has been mentioned as ‘Datchanamurthy.N’.

In my Family Ration Card under No. 035529, my

name has been mentioned as ‘>‚EðVJÏ›]’.

Therefore, I do hereby declare that all the above-

mentioned names are referred, identified and relate

to one and the same person that is me, the deponent

herein. I state that hereafter, I shall be known and

identified only by the name along with the intitial as

‘N. Datchanamurthy (Â. >‚ƒðVJÏ›])’ 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 16th day of February

2021.

466323

N. DATCHANAMURTHY.

————

AFFIDAVIT

I, the undersigned, Mohammad Asaad Raza, born on

10-03-1972 at Balwa Araria, Bihar, holder of Indian

Passport No. J4686518, son of Mohammed Moinuddin

(late) and of Hameera Khatoon and husband of Seema

Asad, residing at No. 4, Nandhana Illam, Nehru Nagar

Extension, Thalatheru Post, Karaikal-609 605,

Puducherry State, do hereby solemnly affirm and

sincerely state on oath as follows:

1. My name is registered as ‘Dr. Md. Asaad Raza’

in my Family Ration Card No. K-005719 issued by the

Department of Civil Supplies and Consumer Affairs,

Karaikal, Government of Puducherry.

105

23 February 2021]

LA GAZETTE DE L’ETAT

2. My name is registered as ‘Dr. Md. Asaad Raza’

in my Aadhaar Card No. XXXX XXXX 5375 issued

by the Unique Identification Authority of India.

3. My name is registered as ‘Mohamed Asaad

Raza’ in my Elector’s Photo Identity Card

No. BSJ0332361 issued by the Election Commission

of India.

4. My name is registered as ‘Mohamed Asaad Raza. Dr.’

in my India Driving Licence (Puducherry)

No. 20070477 issued by the Assistant Licensing

Authority, Karaikal,

5. My name is registered as ‘Md. Asaad Raza’

in my Secondary School Examination Original

Certificate No. 188203, (Roll Code: 4223, No.457)

issued by the Assitant Secretary, Bihar School

Examination Board.

6. My name is registered as ‘Md. Asaad Raza’

in my Degree of Doctor of Philosophy, having Roll

No. 1 issued on 10-06-1999 by the University of

Rajasthan.

7. My name is registered as ‘Mohammad Asaad

Raza’ with my surname as ‘Mohammed Moinuddin’

in my Indian Passport No. J4686518 issued on

10-02-2011 by the Regional Passport Officer, Chennai,

valid up to 09-02-2021.

Hence, my names ‘Dr. Md. Asaad Raza’,

‘Dr. Md. Asaad Raza’, ‘Mohamed Asaad Raza’,

‘Mohamed Asaad Raza. Dr.’, ‘Md. Asaad Raza’,

‘Md. Asaad Raza’ and ‘Mohammad Asaad Raza’ are

referring one and the same person i.e., myself.

My name is mentioned in my abovesaid Passport

as ‘Mohammad Asaad Raza’ with my surname as

‘Mohammed Moinuddin’. Now, I wish to relinquish

my surname. Hereafter, I will be known as

‘Mohammad Asaad Raza’ without my surname.

This affidavit is made in lieu of to omit my surname

in my said Indian Passport.

I am making this affirmation in order to delete

my surname ‘Mohammad Moinuddin’ from my Indian

Passport and to enter my correct name as ‘Mohamad

Asaad Raza’.

Solemnly affirmed and signed before the Notary

Public at Karaikal, on this 15th day of February 2021.

466324

MOHAMMAD ASAAD RAZA.

AFFIDAVIT

I, Saraswathi, wife of Palanivel, aged about 51 years,

Indian, Hindu and residing at No. 17, lyyanar Koil Street,

Varichikudy, Karaikal, do hereby Solemnly affirm and

declare as under:

That my name is mentioned as ‘Sarasvady’ in

my Birth Certificate registered with Kottucherry

Commune Panchayat with Registration No. 21/1970,

dated 20-02-1970.

That my name is mentioned as ‘Saraswathi’ in

my Elector’s Photo Identity Card issued by the Election

Commission of India in Card No. PY/01/022/006628.

That in my Family Ration Card issued by the

Department of Civil Supplies and Consumer Affairs,

Karaikal in Card No. 417818, my name has been

entered as ‘ƒ´¸k]’.

That my name is mentioned as ‘Saraswathi P’

in my Aadhaar Card issued by the Unique Identification

Authority of India, in Card No. XXXX XXXX 7061.

That my name has been entered as ‘ÔÈV’ in the

Sale Deed registered with the Sub-Registrar, Karaikal

vide Document No. 1104/1993, dated 29-07-1993.

That the aforesaid different names ‘Sarasvady’,

‘Saraswathi’, ‘Saraswathi P’, ‘ƒ´¸k]’ and ‘ÔÈV’ are

denoting one and the same person i.e., myself only.

Further, I declare that the aforesaid information is

true and correct to the best of my knowledge and

belief, and nothing has been concealed therein.

Solemnly affirmed and signed before the Notary

Public at Karaikal, on this 16th day of February 2021.

466325

P. ƒ´¸k].

ƒ´¸k].

————

AFFIDAVIT

I, Ramkumar @ Venkadasubramanian, son of

Parthasarathy, aged 31 years and residing at the house

bearing Door No. 2, Second Cross Street, Thirumudi

Nagar, Puducherry-605 001, do hereby solemnly and

sincerely affirm to whomsoever it may concern as

follows:

That I am the deponent herein.

I state that in my Birth Certificate under

Registration No. M/1990/01474, in my Matriculation

Examination under Certificate S.No. MAT.0361315 and

in my Higher Secondary Course Certificate under

S.No.HSG 2938721, my name has been mentioned

as ‘Ramkumar @ Venkadasubramanian’.

106

LA GAZETTE DE L’ETAT

[23 February 2021

In my Aadhaar Card under No. XXXX XXXX 0549,

my name has been mentioned as ‘P. Ramkumar

(√V. ´VDz\VÏ)’.

In my Elector’s Photo Identity Card under

No. TMC0032839, my name has been mentioned

as ‘Ramkumar @ Venkadasubramanian’ (´VDz\VÏ @

ÿk∫Ô¶∑©´\ËB[).

In my PAN Card under No. BGYPR8204G, my name

has been mentioned as ‘P. Ramkumar’.

In the Family Ration Card under number 300435,

my name has been mentioned as ‘´VDz\VÏ (®)

Therefore, I do hereby declare that all the above-

mentioned names are referred, identified and relate

to one and the same person that is me, the deponent

herein. I state that hereafter, I shall be known and

identified only by the name along with the initial

as ‘P. Ramkumar (√V. ´VDz\VÏ)’ 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 19th day of

February 2021.

466328

P. RAMKUMAR.

————

AFFIDAVIT

I, Karumariyammal, wife of Senthilkumar, aged

41 years, residing at No. 36, Main Road, Vallalar Nagar,

Nainarmandapam, Puducherry-605 004, do hereby solemnly

and sincerely affirm and state as follows:-

That I am the deponent herein and I was born

on 18-05-1979.

Further, I state that my calling name is ‘Manimegalai’

among relatives.

I was named as ‘Karumariyammal’ as such in my

Certificate of Birth registered under Registration No.

M/1979/1667.

Further, I state that my name has been mentioned

as ‘Karumariyammal’ in my Elector’s Photo Identity

Card vide Registration No. ATT064683 issued by the

Election Commission of India for Mudaliarpet

Constituency, Puducherry and my name has

mentioned as ‘Karumariyammal alias Manimegalai’ in

my Aadhaar Card under No. XXXX XXXX 1555.

Further, I state that my name has been mentioned

as ‘ÔÚ\VˆBD\V^ (®) \Ëº\ÔÁÈ’. in the Family

Ration Card bearing No. 033799 issued by the

Department of Civil Supplies and Consumer Affairs,

Government of Puducherry.

Further, I state that my name has been mentioned

as ‘Karumariyamma’ in my daughter Saraswathi’s

Birth Certificate vide Registration No. M/2001/8892

and my name has also mentioned as ‘Karumariamma’

in my son Vignesh’s Birth Certificate vide Registration

No. M/2002/14787.

Therefore, I do hereby declare that the said names

‘Karumariyammal’,

‘Karumariyammal

alias

Manimegalai’, ‘ÔÚ\VˆBD\V^ (®) \Ëº\ÔÁÈ’,

‘Karumariyamma’ and ‘Karumariamma’ are referred,

identified and relate to one and the same person that

is myself, the deponent herein.

I state that I have now decided to abandoned

my calling name ‘Manimegalai’ and assumed

‘Karumariyammal’. Henceforth, I shall be known and

identified only by the name ‘Karumariyammal’ for all

purposes.

I state that the above facts are true and correct.

Solemnly and sincerely affirmed, and signed before

the Notary Public at Puducherry, on this 19th day of

February 2021.

466330

S. ÔÚ\VˆBD\V^.

ÔÚ\VˆBD\V^.

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 “https://styandptg.py.gov.in”

Published by the Director, Government Press, Puducherry.