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(Translation)

Official Emblem 

No……………..                Form : Chor 3

Certificate of First Name Change

…………………………..

Identification No. …………………………………………………………………………………

Residing at House No.  …………… ………………………………………..…………………...

………………………………………………………………………….

Father’s Name :………………………… Mother’s Name :…………………………………….

has requested to change the first name to "………………………………………………. "

The Registrar has granted permission as per application No. …….. dated……………………

therefore, issued this certificate as evidence.

District Office:…………………………..

Issued on ……………………….
-signature-
(………………..)

Local Registrar
Official Seal Affixed
 
Position Seal Affixed

Certified Correct Translation

( )

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