GOVERNMENT OF INDIA
DEPARTMENT OF PULICATION
CIVIL LINES, DELHI -110054.
Website: ww.deptpubnie.in
Email: [deleted] (&) pub,dep@nic.n
TEL.: 2381 7823 / 9689 / 3761 / 3762 / 3764 / 3765.
Advt. : - 67810 / 11 DP – 190 Dated 08.12.2011
To
Mr. Gopal Ch. Bhoi, Postal Assistant
Sahidnagar MDG, Bhubaneswar – 751 007
Sub: - Publication of advertisement by individual in the Gazette of India Part-IV, regarding change of name, addition or deletion of surname etc.
Sir,
With reference to your letter no. - dated 2nd December, 2011 on the above subject. I am to inform you that the person who wants to get his change of name published in the Gazette of India Part- IV has to comply with the following formalities prior to publication of such advertisement.
1. The individual concerned has to notify his change of name in one of the leading local newspaper either in English or Hindi (not more than one year old from the present date of application), showing the following data: - old name, s / o , d / o, w / o, residential address, and new name and forwarded it in original to this Department along with other documents.
2. The individual concerned has to make an affidavit on non-judicial stamp paper of Rs.-10/- duly attested by Notary Public/Oath Commissioner or 1st Class Magistrate (not more than six month old from the date of present application) and forward in original to this department.
Central Govt. employee may however, submit deed for change of name in accordance with the Ministry of Home Affairs OM No. 190016/1/87-Estt, dated 12.03.1987 ( Deed should be typed on plain paper signed by two witness of the rank of Gazetted officer of the same Department with Rubber stamp ) In case of Indian living abroad he/she shall submit deed duly attested by the respective Indian Embassy / Indian High Commission, as the case may be in original to this Department.
3. The individual concerned is also required to submit two specimen proforma (duly typed on plain papers) duly signed by the individual concerned as well as two witness at the prescribed place in duplicate. The proforma shall not be filled in by handwriting.
4. The cost of printing of the advertisement including supply of one copy of the respective Gazette by Regd. Post is Rs. 700/-. The amount shall be remitted in advance either in Cash or by Bank Draft / India Postal Order drawn in favour of the Controller of Publications, Civil Lines, and Delhi- 110054. The extra copies of the Gazette limited to maximum numbers up to two copies can be supplied on extra payment of Rs. 35/- per copy. The printing charges can also be deposited with aforesaid documents at this Department, cash counter. The cost of printing of India abroad is Rs. 2300/- which includes Air Mail Charges.
5. Two attested passport size photographs by Gazetted Officer ( if sent by post ). If he / she comes in this department personally, he / she should put his signature on the photo in the presence of concerned officer of this Department.
6. Request letter should be drafted on plain paper, addressed to -The Controller, Department f Publication, Civil Lines, Delhi- 110054 and signed by the applicant in his old name with contact number and date.
7. Similar information should be in news paper, affidavit and specimen proforma (in duplicate). All the required documents should be submitted in original.
The documents forwarded to this Department will not be returned in any case.
Yours faithfully,
Sd/-
for CONTROLLER OF PUBLICATION
SPECIMEN FORMAT
ALL BLANK SPACE DULY TYPED ON SEPARATE PLAIN PAPER IN DUPLICATE (TWO COPIES)
No. ADVT / IV I
I hitherto known as …………………………( Old Name )………………………………….Son / Daughter / Wife
of …………………………………………..( Father’s / Husband’s Name )…………………………………………..employed
as (……………………………………( Office / Company / Organization Name ) ……………………….. ……….residing at ………………………( Residential Address ) ………………………………………….. have changed my name and shall here after be known as ………………………….( New Name ……………………..
It is certified that I have compiled with other legal requirements in this connection.
OLD SIGN
Signature (in existing old name)
Witness No I
Signature………………………………………………………… Full Name…………………………………………………….
Address ……………………………………………………………………………………………………………………
Witness No. 2
Signature . ……………………………………………………… Full Name ………………………………………………….