Annexure E Sample PDF Details

What Is the Annexure E Sample Form?

The Annexure E Sample form is a sworn affidavit or deed poll used in India to legally document a name change. It is a binding declaration where the applicant states their intent to abandon their former name and permanently adopt a new one in all official records, transactions, and documents. The form is required for Indian passport applications and renewals when the applicant's name has changed due to marriage, divorce, or personal preference.

Who Needs to Submit Annexure E?

This form is required when applying for or renewing an Indian passport with a name that differs from your existing identity documents. Indian citizens abroad, including those in the USA, need to attach the annexure e for passport filled sample with their application at the local consulate. You will also need supporting documents such as newspaper clippings announcing the name change.

Key Requirements for a Valid Annexure E

See also the Indian Passport Renewal Form and the Address Name Change Form for your complete passport application package.

QuestionAnswer
Form NameAnnexure E Sample
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesannexure e for passport, annexure e indian passport, deed poll, name change affidavit
PurposeIndian passport name change after marriage, divorce, or personal preference
Required paperNon-judicial stamp paper (minimum value varies by state)

Form Preview Example

ANNEXURE ‘E’

SPECIMEN AFFIDAVIT FOR CHANGE IN NAME/DEED POLL/SWORN AFFIDAVIT

(On non-judicial stamp paper of minimum value)

By this deed I, the undersigned………………. (new name) previously called

………………. (old name), doing……………………(give profession or vocation) and

resident of …………………………(address) solemnly declare:

1.That for and on behalf of myself and my wife, children and remitter issue , I wholly

renounce/relinquish and abandon the use of my former name/surname of

……………………….and in place thereof, I do hereby assume from this date the name/surname ………………………, so that I and my wife, children and remitter

issue may hereafter be called, known and distinguished not by my former name/surname, but assumed name/surname of ………………………

2.That for the purpose of evidencing such my determination declare that I shall at all times hereafter in all records, deeds and writings and in all proceedings, dealings

and transactions, private as well as upon all occasions whatsoever, use and sign the name of ………………… as my name/surname in place and in substitution of my former name/surname.

3.That I expressly authorize and request all persons in general and relatives and

friends in particular, at all times hereafter to designate and address me, my wife, my

children, and remitter issue by such assumed name/surname of …………………...

4.In witness whereof I have hereunto subscribed my former and adopted name/surname of ………….. and ……… affix my signature and seal, if any, this

………………….. day of ………

Signed sealed and delivered by the above name

 

Date…………….

 

Former name……………

 

In the presence of:

 

Name………………..

Name ………………….

Address…………….

Address ………………..

(This deed poll/affidavit may be signed and attested in presence of a Magistrate/Notary or Consular Officer in an Indian Mission abroad)

NOTE: In case of change of name, applicant should insert advertisements in two reputed newspapers (one local newspaper of the area in which he/she is residing and 2nd in newspaper of the area of permanent address) and submit original newspapers at the time of applying for passport in his/her new name.

How to Edit Annexure E Sample Online for Free

This PDF editor lets you fill out the annexure e indian passport sample form online. Follow these steps to complete and download the document quickly.

Steps to Fill Out Annexure E Online

Step 1: Click the "Get Form Here" button to open the Annexure E Sample in our free PDF editor.

Step 2: Use the toolbar to type your information into the required fields. You can add, remove, and change text, highlight sections, and make other edits to the form.

Fill out the annexure e indian passport sample PDF by entering the correct details in each designated area.

annexure e sample filled form blanks to fill in

Complete the "Signed sealed and delivered by the" field, the Date and Former Name sections, the "In the presence" witness area, and the deed poll/affidavit declaration box. For the annexure e for passport from usa, enter your current US address in the residential address field.

Filling in annexure e sample filled form part 2

Step 3: Click "Done" to finalize your form. Download the completed document to your device or send it by email.

Step 4: Print as many copies as you need. We never share or view your data.

What Information Do You Need?

Before filling out the annexure e sample form, gather these details:

  • Your new name (exactly as it will appear on your passport)
  • Your former name (as shown on your current documents)
  • Your profession or vocation
  • Your current residential address
  • Names and contact details of two witnesses

Frequently Asked Questions

Is Annexure E the same as a deed poll? Yes. The Annexure E form functions as a deed poll or sworn affidavit, which is a legal document confirming your name change intention.

Does the form need to be notarized? Yes. After printing on non-judicial stamp paper, have the affidavit signed before a notary public or First Class Judicial Magistrate before submitting it.

Can I fill out the form from the USA? Yes. Complete the form online using FormsPal's free editor from anywhere in the world. Print it on the required stamp paper, get it notarized locally, then submit it with your Indian passport renewal application at the nearest consulate.

Related forms: Indian Passport Renewal Form, Annexure F Form, Address Name Change Form.

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