DEED FOR CENTRAL GOVT. EMPLOYEE FOR CHANGE OF NAME/SURNAME
BY THIS DEED I the undersigned................................................................lately
called....................................................................................................employed as (Former name)
......................................................................................................................... (Designation of the post held at the time by the Govt. servant)
at....................................................................................................................... (Place where employed in the Ministry/Department of the Govt. of India)
do hereby:-
1. Wholly renounce, relinquish and abandon on the use of my former name of ...................................and in place thereof do assume from the date there of the name of ..........................and so that I may hereafter be called, known and distinguished not by my former name of ...............................................but by my assumed name of...........................................................
2. For the purpose of evidencing such my determination, declare that I shall at all times hereafter in all records, deeds and writings and in all proceedings, dealings and transactions private as well as public and upon all occasions whatsoever use and sign the name of............................................as my name in place of and in substitution for my former name of..........................................................
3. Expressly authorities and request all persons at all times hereafter to designate and address me by such assumed name of .....................................................
4. In witness whereof I have here unto subscribed my former and adopted name of................................................and .......................................affixed my seal this.....................................day of .................................
Old Signature................................... New Signature.................................
Signed and delivered by the above named......................................................... formerly................................................in the presence of :-
Witness No. - 1
Signature............................................ Name................................................ Designation........................................ Official Address.................................. (With Rubber stamp)
Witness No. – 2
Signature............................................ Name................................................ Designation......................................... Official Address................................... (With Rubber stamp)