CHANGE OF NAME FOR MAJOR

I hitherto known as NEELAM CHAND POKARNA Son of Ashok Kumar Pokarna employed as

Purchase Executive at Kamal Textile Agency, Pandri, Raipur residing at H. No. 38/577, Nehru

Nagar, Ward No. 49, In front of Police Line, Gurudattamal Chall, Raipur, Chhattisgarh -492001

have changed my name and shall hereafter be known as Naman Pokarna.

It is certified that I have complied with other legal requirements in this connection.

Neelam Chand Pokarna

Signature

Witness No. 1:-

Full Name: Signature:

Address:

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Witness No. 2:-

Full Name: Signature:

Address:

Mobile No.: