Notice of Change of Name (For insertion in a newspaper) by Shiva.

Notice of Change of Name

(For insertion in a newspaper)

I, the undersigned A. B., formerly known as C. D. of . . . . . . . . do hereby give notice that by a deed poll dated . . . . . . . . . . . . . ., and registered at the Sub-Registry Office of . . . . . . . . . ., as No. . . . . . . . . , in Book . . . . . . . . , Vol. . . . . . . . . . ., on pages . . . . . . . . . ., I have assumed and taken the name of A. B. in lieu of C. D., my previous name and that I shall henceforth use the name of A. B.

Dated . . . . . . . . . .                                                 Sd. A. B.

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