Questionnaire – Name Change

(Based on the responses, Affidavit, proforma and advertisement will be drafted)

Information required from the Applicant

1. Full name (old):
2. Full name (new):
3. Reason for name change:
4. Occupation:
5. Date of birth:

Information required from Witnesses

Witness 1
1. Full name:
2. Address:
3. Mobile/ Phone no.:

Witness 2
1. Full name:
2. Address:
3. Mobile/ Phone no.: