AFFIDAVIT

I USHA PRABHAKAR POKALE , An Adult Indian Inhabitant Residing At :- B/2

204 Bright Star Chs Phase -2 Yashasvi Nagar Balkum Thane West 400608 Do Hereby State
And Declare That As Under :-

I Say That My True And Correct Name Is USHA PRABHAKAR POKALE,

However By Mistake On My Documents My Name Is Incorrectly Written USHA GANPAT
MHASKE, But My Correct And True Name. USHA PRABHAKAR POKALE

I Hereby State That Both USHA GANPAT MHASKE And USHA PRABHAKAR
POKALE, Are The Names Of One And The Same Person That Is Me

I Am Making This Affidavit To Produce Before The Concerned Authorities To

Obtain MAHARASHTRA RAXJOATRA (GAZETTE ) Notification For Changing My
Name To USHA PRABHAKAR POKALE I Take Oath Solemnly Declare / F firm That
The Particulars Furnished By Me Above Are Correct And That I Have Not Concealed Or
Nusrepresented And Facts .

The Contents Of The Affidavit Has Been Read Out To Me

Solemnly Affirmend At Thane This 23/11/2021

USHA PRABHAKAR POKALE

Deponent