Affidavit for Application for Change of Name in a Certificate (India)
This affidavit is used to request a name change on a university degree or certificate, typically following marriage. It provides a formal declaration that the applicant is the same person who earned the original qualification under their previous name.
AFFIDAVIT TO BE SUBMITTED WITH THE APPLICATION FOR CHANGE OF NAME IN THE CERTIFICATE.
The Registrar,
_________________________ University
Affidavit of Miss._priya_________________________
D/o, of Mr. Pankaj_X_____________ now Mrs. ___________, wife of Mr_______________, aged _____ years, resi _mall Road,Kanpur___________________________________.
I, the above named deponent, solemnly affirm and state as under:
That I am the applicant in the application being submitted for the change in name and as such I am fully conversant with the facts deposed to below.
That I pursued and passed three years Bachelors Degree in Commerce (Hons.), Course from ________________College, affiliated to your University under name Miss._______________from the year ______________ to _______________________under roll No.____________.
That my marriage was solemnized with Mr.___________________, on ____________, That due to different surname of my husband, my name has changed from Miss. _____________________________ to Mrs. _________________________________
That I have been selected and appointed on probation as Section Officer in ________________ and the appointing authority has advised me to submit the Certificate confirming change of my name.
That I, now addressed under my changed name as Mrs._________ _______________ is one and the same person as Miss___________________________ before my marriage with Mr. ________________ was solemnized.
That it is necessary to issue the Certificate in the changed name.
DEPONENT
Signed at _____________ this ___ day of ____,
VERIFICATION
I, ________________________________ the above named deponent do hereby verify on oath that the contents of the affidavit above are true to my personal knowledge and nothing material has been concealed or falsely stated. Verified at _______this _____day of_______
DEPONENT
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About this template
What is this template?
This is a sworn legal statement used in India to bridge the gap between an old name and a new name for administrative record-keeping. It is not a Deed Poll or a Gazette Notification, which are separate steps usually required before or alongside this affidavit. It specifically contains a verification clause where the deponent swears to the truth of the identity claim under penalty of perjury.
When should you use it?
Use this document when an educational institution or board requires formal proof of a name change to issue a corrected certificate. If you are changing your name for general purposes and have not yet published it in the Gazette, use a Name Change Deed Poll instead.
What's inside
| Clause | Name | What it does |
|---|---|---|
| 1 | Identification of Deponent | The Deponent provides their current name, age, and residential address to establish their legal identity for the record. |
| 2 | Declaration of Name Discrepancy | The document specifies both the old name as it appears in certificates and the new name intended for future use. |
| 3 | Consistency of Identity | The Deponent affirms that the person named in the existing certificates and the person with the new name are the same individual. |
| 4 | Purpose of Affidavit | The statement declares that the affidavit is being executed specifically to request a name change in the specified certificate records. |
| Verification | Verification | The Deponent swears that the contents are true and no material facts have been concealed, preventing future disputes. |
Who it's for
- an individual in India correcting a surname after marriage in school records
- a student seeking to align their degree certificate with a government-notified name change
- a professional updating licensure records to reflect a newly adopted legal name
How long it runs and how it's signed
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