Meeseva Revenue Change of Name Application Form

Meeseva Revenue Change of Name Application Form

Download Meeseva Revenue Change of Name Application Form

CHANGE OF NAME
Type of Application:
Applicant Details:-
Applicant Present Sur Name*: _________________________Applicant
Applicant Present Name*: ________________________________
Gender*:
Male
Female
Father Name*: ______________
_______ Mother Na
Police Station Name having jurisdiction*: ______________
District*: ___________________________________Village/Ward*: ________________________
Door No*: _________________________
Pin code
Occupation Details: -
(For Major OnlyProfession*:
Government Employee
Non Government Employee
Government Employee Details:-
Name of the Employee*: _______________
__________________________Designation*: _____________________________
Non Government Employee Details:-
Name of the Employee*: _______________________
Designation*: ____________________
___________
Company Address*: ___
_______________________________
Others:-
Mention your Employment*: _______________________________
Occupation Details: -
(For Minor OnlyMention your Work/Education*:
___________________________________________________________
Informant Details:-
Informant Name*: ________________________Mobile No.*: _________________________
____Delivery Type*:
At Kiosk
Post Local
Post Non
Postal Details:-
District*: ____________________________________
Village/Ward*: ___________________
___________
Door No*: _______________________________________
Documents List: - (
Documents PDF format onlyApplication Form*
Recent Passport size Photograph*(
JPG/JPEG/PNG/GIF format only
Citizenship Certificate issued by Gazetted Officer
Affidavit stating exact reason for change of his/her name
Certificates from Class
1 to 10th attested by Gazetted Officer
Police Certificate stating that he/she has not come
to any adverse records during last 5 years
Others
(Aadhar/Ration Card/VoterID etc for Illiterates
(*- Indicates Mandatory)