I, SHAIK GHOSIYASULTHAN (old surname), wife of SYED JAFFAR MOHIDDIN, residing at D.No. 1-1-213, Gopivihar Street, Pulivendula Mandal, YSR District, Andhra Pradesh, hereby declare that I have changed my surname from SHAIK GHOSIYASULTHAN (old surname) to SHAIK GHOSIYASULTHAN (new surname spelling as officially adopted). Henceforth, I shall be known by this name for all purposes. Andhra Pradesh