TO WHOSOEVER IT MAY CONCERN

AFFIDAVIT
I, S/W/o Aged: Years,
Occu: R/o
do hereby solemnly affirm and state on oath as under:-

1. I submit that my name was recorded as ‘’_______________’’ in the Bank Account.

During my childhood my name was called as ______________ in my parents’ house and
after the marriage I am also calling as __________________ at my husband’s house and as
such my presently calling name i.e., ____________________ was recorded in the
Household Card and Voter I.D.Card and also in the records of L.I.C., I submit that _______
_______________and ____________________ is one and the same person i.e., myself.
OR
1. I submit that my son’s name was recorded as ‘’_____________’’ and my name was recorded
as ‘’____________________’’ in the Passport issued by Passport Authority, Republic of India. Prior to
that my son has obtained Driving Licence from the Road Transport Authority, in which my son’s name
was recorded as ‘’____________’’ and my name was recorded as ‘______________’. The name of
‘’___________________’’ and ‘’______________’’ are belong to one and the same persons i.e., my
son. More over the names of ‘’_________________’’ and ‘’__________________’’ are also belong to
one and the same person i.e., myself.

Therefore, I request your authorities to treat the names of _______________ and

_________________ are belong to one and the same person i.e., myself. If any dispute
arose in future in this regard I will be held responsible.

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

DEPONENT

VERIFICATION:- Solemnly affirmed and signed before me by the deponent admitting the
contents of this affidavit on this day of 20 at

ADVOCATE