I, SHAIK SHAMIMULLA (Old Name), S/o PATAN KAREEM, R/o H.No. 7-59, Bugga Street, Renigunta, Tirupati District, Andhra Pradesh-517520, hereby declare that I have changed my surname and name from SHAIK SHAMIMULLA to PATAN SHAMIULLA (New Name). Henceforth, I shall be known as PATAN SHAMIULLA for all records, documents, and future purposes.