TO,
THE CONTROLLER OF PUBLICATION,
DEPARTMENT OF PUBLICATION , CIVIL LINES,
BEHIND OLD VIDHAN SABHA,
NEAR VIDHAN SABHA METRO STATION,
DELHI-110054.
SUBJECT:- REQUEST FOR CHANGE OF NAME(MAJOR), PUBLIC NOTICE, CHANGE OF RELIGION
ETC.
Sir,
I wish to change my name/ father’s name/ mother’s name/ my religion/ minor’s son’s/ daughter’s
from (old name/ wrong name…………………………………………...……………………………..) to (new name/ real
name…………………………..………..…………………………………………..)
Kindly notify the same in Gazette of India (Weekly- Part IV).
I have completed all the requisite formalities in this respect.
Thanking You.
Yours faithfully,
Signature of Applicant……………………………………………….
Name of the Applicant………………………………………………
Full Correspondence Address of Applicant
with Pin code…………………………………………………………….
………………………………………………………………………………….
………………………………………………………………………………….
Mobile Number of Applicant……………………………………..
Email Id of Applicant………………………………………………….