I, __________ son of _____________ aged ___, residing at __________________, do hereby solemnly affirm and declare as under:
1. That I, Shri ___________, having signature now to be changed as copy of specimen is attached.
2.. I hereby affirm that after dated _________ all the signature done by me i.e. ________________ will be as no. 2 done on specimen copy attached with affidavit and any signature done with no.1 will not considered as minw.
3) I am executing this declaration to be submitted to the concerned authorities for the change of signature. I hereby state that whatever is stated herein above are true to the best of my knowledge.
Solemnly affirmed at ________ ) On this ____ day of ______ 2004 )
(Signature of the Applicant) Deponent Identified by me Before Me