Government of India
Ministry of External Affairs
CPV Division, Delhi

ANNEXURE ‘D’

SPECIMEN AFFIDAVIT TO BE SUBMITTED ALONG WITH APPLICATION FOR PASSPORT BY A WOMAN APPLICANT FOR CHANGE OF NAME AFTER MARRIAGE (JOINT AFFIDAVIT TO BE SUBMITTED ALONG WITH HER HUSBAND)

(To be executed on non-judicial stamp paper)

 

We    1………………………………………………………………………………

                                    (maiden name of wife)

            2.……………………………………………………………………………….

                        (name of husband)       

       solemnly declare and affirm as under:

1.That we are married under ……………………….Marriage Act/Rights/Customs and are living together as married couple since……………………………………………

                                    (date of marriage)

2..That ……………………………….. would henceforth be known as …………………

    (maiden name of wife)                                                    (name of wife after marriage)

      by virtue of our marriage.

3.That our joint photograph is affixed below.

 Date:

                                                                                    Signature & address of Deponents

                                                                       

                                                                                                            1……………………….

                                                                                                           

                                                                                                            2………………………

Note:       1.  This affidavit may be sworn before a Magistrate/Notary.

              2. The joint photograph of the couple is to be pasted on the bottom left hand side of the affidavit paper and attested by the Magistrate/Notary with his/her signature and rubber stamps (half on the photograph and half on the affidavit)

               3.   Declaration 2 above to be ignored by applicants who seek endorsement of name of spouse in respect of reissue of a previously issued passport.