I, PANDI VIJAYMOHAN (Old Name), R/O Gamallapalem B.C. Colony, Survepalle-IV, N.G. Palem, Venkatachalam Mandal, SPSR Nellore District, Andhra Pradesh – 524323, hereby declare that I have changed my name as PANDI VIJAYAMOHAN (New Name), S/O POLAIAH. Henceforth, I will be known by my new name.