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A F F I D A V I T

I, MILAN NAROTAMBHAI VAGHELA, Aged about 22 years, Cast-

Hindu, Occupation – Service, residing at House No. 1554-1, Vrundavan
Society (West), Silvassa, Union Territory of Dadra & Nagar Haveli do hereby
state on solemn affirmation as under:
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That my Name is shown as MILAN NAROTAMBHAI VAGHELA in

my Election Card (ID), Driving License, PAN Card, and Aadhar Card.

That my Name is shown as MILAN NAROTAMBHAI MISTRY Birth

Certificate.

I want to change my name MILAN NAROTAMBHAI MISTRY to

MILAN NAROTAMBHAI VAGHELA.

That I hereby declare my change of name as MILAN NAROTAMBHAI

VAGHELA and my full name will be known as MILAN NAROTAMBHAI
VAGHELA.

I would like to change my name in Govt. Gazette and therefore this

affidavit is made. Whatever stated above is true and correct to the best of my
knowledge and belief and I know making false affidavit is a crime.

Silvassa (MILAN NAROTAMBHAI VAGHELA)

Date: /12/2014. Deponent

I know the deponent

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