I, ____ Son of/ Wife of ____ Resident of ____, do hereby solemnly affirm and declare as under:-
1. That I am the permanent resident of above said address.
2. That my ____ No. ____, and I am the ____ of ____, Code No. ____ District ____.
3. That I want to add the name of my real ____.
4. That the name of my _____ may be added/remove in the _____.
Verified that the contents of my above said affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein.