I, Khurashi Shameem Banu (old name), W/o Khurashi Mahaboob Jeelan Basha, residing at D.No. 17/462, Sadhu Chenngana Street, Kadapa, YSR District, Andhra Pradesh - 516001, hereby declare that I have changed my surname/name from Khurashi Shameem Banu (old name) to Shaik Shameem Banu (new name). Henceforth, I shall be known as Shaik Shameem Banu for all official and personal records. State: Andhra Pradesh