Statutory declaration for name variations sample 2026

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  1. Click ‘Get Form’ to open the statutory declaration for name variations sample in the editor.
  2. Begin by entering your full new name in the designated field at the top of the form.
  3. In the next section, input your former name as it appears on official documents.
  4. Fill in your permanent home address accurately to ensure proper identification.
  5. Carefully read through each declaration statement and confirm that you understand and agree with its contents.
  6. Sign the document where indicated, using your full new name, and include your former signature if required.
  7. Finally, have a solicitor or notary public witness your signature and complete their details in the provided fields.

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Statutory declaration for changing your name by deed poll: Form LOC021. This form must be completed by someone that knows you. Send it with your application to enrol your change of name, if youre 18 or over, to the Royal Courts of Justice.
If you are making a statutory declaration, you are called the declarant. Your statutory declaration should contain: your full name your address your occupation a statement that you do solemnly and sincerely declare the things you say are true.
A statutory declaration is a written statement that you (the declarant) sign and declare to be true and correct in the presence of an authorised witness. By signing it, you agree that the information in it is true. You can be charged with a criminal offence if the information is false.
A statutory declaration is a statement, recording your intention to abandon your old name and adopt a new one. A statutory declaration can be accepted as evidence of your change of name but, except in Scotland, is not seen to be as formal as a deed poll (see below).
I am executing this declaration to be submitted to the concerned authorities for the change of my name in membership database. I hereby state that whatever is stated herein above are true to the best of my Knowledge. NOTES: 1. The affidavit has to be sworn before a Notary Public.
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I state that [maiden name] and the [present name] is the name of one and the same person and that is myself. I am executing this declaration to be submitted to the concerned authorities for the change of my name in membership database.
1. I say that my true and correct name is.. 2. I say that in my graduation certificate or Certificate of Membership by ICAI or aadhar card or PAN Card or any document (mention), my name is mentioned as . The name . is my mothers name or my fathers name or . name.

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