I, B. RAJYALAKSHMI (Old Name), resident of Brahmana Street, Atmakur, SPSR Nellore District, Andhra Pradesh–524322, hereby declare that I have changed my name as RUKSANA (New Name), D.O.B: 01/06/1979, W/o. Shaik Urooj. Henceforth I shall be known as RUKSANA.