I, __________, __________ of the minor named below, resident of __________, do hereby solemnly affirm and declare as under:
That I am the deponent above named and am competent to swear this affidavit __________.
That the minor was born on __________ and was recorded under the name __________.
That the minor shall henceforth be known as __________, the names __________ and __________ referring to one and the same minor, and that this affidavit changes only the minor's name and not the minor's identity, parentage or date of birth.
That this change of name is sought because __________
That the minor's other parent __________
That this affidavit is sworn __________
That the contents of this affidavit are true and correct to my knowledge, no part of it is false, and nothing material has been concealed therefrom.
DEPONENT
VERIFICATION
Verified at __________ on __________ that the contents of paragraphs 1 to 7 above are true and correct to my knowledge, that no part of it is false and that nothing material has been concealed therefrom.
DEPONENT
AFFIDAVIT FOR CHANGE OF NAME OF A MINOR
I, __________, __________ of the minor named below, resident of __________, do hereby solemnly affirm and declare as under:
That I am the deponent above named and am competent to swear this affidavit __________.
That the minor was born on __________ and was recorded under the name __________.
That the minor shall henceforth be known as __________, the names __________ and __________ referring to one and the same minor, and that this affidavit changes only the minor's name and not the minor's identity, parentage or date of birth.
That this change of name is sought because __________
That the minor's other parent __________
That this affidavit is sworn __________
That the contents of this affidavit are true and correct to my knowledge, no part of it is false, and nothing material has been concealed therefrom.
DEPONENT
VERIFICATION
Verified at __________ on __________ that the contents of paragraphs 1 to 7 above are true and correct to my knowledge, that no part of it is false and that nothing material has been concealed therefrom.