You are on page 1of 1
NAME CHANGE AFFIDAVIT , aged 30 years, currently residing in . | Dubal, UAE and permanent residence In India $s soncer tev evens dia holder of Indian passport No... ...e,w issued at Cochin on 19/12/2017 hereby pic eatin reesei an Helles |, the undersigned, hereby solemnly affirm that my name written in various documents of mine are as below: 1) PASSPORT (NO. w. -vae-) 2). Certificate of Marriage 3) EMIRATES ID 4) PCC of following nations «UAE © India © Qatar 5) Bank Statements of following banks: *ADCB Bank, Dubai, UAE © The Commercial Bank, Doha, Qatar 6) Work Experience Company Documents of: uc i) Academic Documents: 2). Kerala State Driving Licencey .. 3) AADHAR CARD NO... runnrrae 4) Birth Certificate 5) Work Experience Company Documents of: os wie Ltd 2) Pay Slip of company .....- -oo -- Limited 2). Experience letter of reise: wenn snune Limited 3) Offer of Employment of mise Uicrispone erecruniersarnies CO uc ~, issued on 05/05/2006 That all above mentioned names aré mine and | am the same person belonging to all these documents. | am known by all these names and | am the one and the same person, | understand that | am liable to be prosecuted, if this affidavit or any part of it is anyway found incorrect or false. That this affidavit is true it conceals nothing and no part of its false. Place: Dubai i Date: , 20% plovendean 2010 A James Berry & Associates (Signature) tg 304 API World Tower nd & Wes) ‘Sheikh Zayed Road P.O. Box $2204 (Name) Dubai - UAE

You might also like