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RAJASTHAN GAZETTE

Ordinary

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Published by Authority

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Vol. 77 PAUSA 4 , Thursday, Saka 1947&December 25, 2025 No. 39

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AFFIDAVIT (For Citizens)

I am DHAPU DEVI Wife of Shri FUSA RAM caste Vishnoi age Resident of Govt.

Hospital, Gudamalani, Tehsil 56 years, Gudamalani Dist Barmer (Raj.) and declare on oath

that :

Presently my name is SHANTI DEVI VISHNOI and in future I will be known by me

changed name DHAPU DEVI. The reasons for name change are as follows.

I want to get my name correction in all documents because it is old name.

Place : Balotra

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Date : 29/11/2025

Deponent

ATTESTED

RAJENDRA NIMBARK

04-12-2025

NOTARY, SIWANA (RAJ.).

26072

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