Name Change Affidavit — Karnataka

AFFIDAVIT

(For Change of Name)

On ₹20 stamp paper

I, ________, of Shri ________, age ________ years,

Resident of: ________, ________, कर्नाटक - ________,

Do hereby solemnly affirm and declare as under:

1. My old name is ________ recorded in all government and non-government documents.

2. I wish to change my name to ________ with immediate effect.

3. Reason for name change: ________

4. I declare that ________ and ________ are one and the same person.

5. The above declaration is true. If found false, I shall be liable for legal proceedings.

Date: 5 April 2026

Place: ________

Deponent's Signature: _______________

Name: ________

Verification

Sworn before me on 5 April 2026 at ________.

Notary/First Class Magistrate

Name: _______________

Seal & Signature: _______________