Transcription of S.No. PROFORMA - I
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S.No. PROFORMA - I
PROFORMA - I(This PROFORMA is intended for the Change of Name only) SELF ATTESTATIONThe information furnished above are correct and true to the best of my knowledge and of the Applicant with name in BLOCK LETTERSFOR OFFICE USE ONLYMode of Payment Cash / DD For No.:Date Register No.: [ 281-8 29-05-2015 [Lenove-3]Please read the instructions on the reverseside of this PROFORMA carefully and fill upthe particulars in the BOXES IN ENGLISH(BLOCK LETTERS ONLY)*Use on one box for one alphabet*Leave one box blank after each word*Do not split the word*Use next lineTo be Published in the Tamil Nadu Government : Thiru / Selvi / ThirumathiI,(OldName) MySon/ Daughter[ForMinor]*InitialSon/ Daughter/ Wife of ThiruBorn on Date Month YearSex Age Male/ FemaleDistrict of Birth:Residing at:Door :New:PIN CodeNumberShall henceforth be known as (NEW NAME IN BLOCK LETTERS)Gazette to be got inperson by post(i).]
PROFORMA - I (This Proforma is intended for the Change of Name only) SELF ATTESTATION The information furnished above are correct and true to the best of my knowledge and belief.
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