How to Fill Gazette Name Change Form? You might be looking for a ready-to-fill document for the Gazette name change form. Although the specimen is available in the official Gazette of India Part-IV guidelines, it isn’t a universal application form.
The guideline only shows the required format & wording for your name-change printing matter. Requirements can be different whether you’re changing your first name, surname, or full name, so prepare your documents based on your specific case.
Is there a ready-made Gazette Name Change Form?
No, there isn’t one universal form for every name change case.
As mentioned previously, a specimen for a change of name is available at the end of the official Department of Publication guidelines. You must prepare the required printing matter based on this specific form on separate paper.
The proforma should be in computer-typed format. It must be submitted in duplicate with the applicant’s & 2 witnesses’ signatures. You should therefore only consider the specimen available at the end of the guideline as a sample.
What Does Gazette Name Change Form Contain?

The basic wording for a name change is only available at the guideline’s conclusion.
It usually comes with these details:
- Father’s, mother’s, or husband’s names as needed
- Applicant’s employment details
- Office or company’s name
- Residential address
- New name
The declaration must state that the applicant was previously known by the old name & will now be known as the new name. A statement confirming compliance with other legal requirements must also be added to this declaration.
The applicant signs using the old or existing name. There’s also an empty place for two witnesses’ signatures & their details. Their full names, addresses, mobile numbers, and signatures must be there in the Gazette Name Change Form.
Gazette name change form Sample
I hitherto known as ANSHUL S/o VIJENDER SINGH KUNDU, R/o H. No. 936 E Block Omax City Sector 18, Sonipat, Haryana-131001, have changed my name and shall hereafter be known as ANSHUL KUNDU.
It is certified that I have complied with other legal requirements in this connection.
ANSHUL
[Signature (in existing old name)]
The applicant must then sign the form before the details and signatures of two witnesses.
It is only a sample format. Prepare your exact document based on your circumstances & the requirements.
How to Prepare the Gazette Name Change Form?
You must initially understand that the Gazette Name Change Form must be created based on your specific requirement. Check the complete process now:
Step 1: Check Your Old and New Name
You must first enter your existing name as it appears in your official documents. The new name must then be added, and you must publish it in the Gazette publication.
Step 2: Add the Required Personal Details
The applicant must then enter their relationship information, employment details, office/company information, and residential address. Don’t copy someone else’s format if your situation is different.
Step 3: Prepare the Declaration
The applicant must follow the wording and structure present in the official guideline. They must formally mention the old and new name in it. The applicant must then sign using their current name.
Step 4: Add Two Witnesses
A dedicated section for two witnesses is also there. Their full name, address, mobile number, and signature must be mentioned in the Gazette Name Change Form.
Step 5: Prepare the Required Copies
The prescribed printed matter must be submitted in duplicate. You must also submit its soft copy in a CD /MS Word Format.
Do You Need an Affidavit for Gazette Name Change Form?

An affidavit is one of the important documents needed for a Gazette Name Change form. It should not be confused with something you can download & sign simply.
It would be best to reach out to an advocate or lawyer for drafting and attestation of an affidavit. The lawyer can prepare the affidavit based on your specific case and requirements.
This is completely different from the specimen available at the guideline’s end. Although the specimen is a format for the name change printing matter, an affidavit is a separate legal document needed for it.
Documents Required for Gazette Name Change Form
Several documents are needed for applying for publication of a name change in the Gazette of India Part-IV. Common documents are:
- Signed undertaking
- Original newspaper where an advertisement of a name change is present. The applicant must advertise the name change in a local leading newspaper. The father’s/husband’s name, residential address, etc must be clearly mentioned within it.
- Printing matter in duplicate
- Printing matter’s soft copy
- 2 self-attested passport-size photographs
- Photo-ID Self-attested photocopy
- Certificate confirming that the soft and hard copies have the same details
- Request letter
- Publication fee receipt
Where Should the Documents Be Submitted?
You must submit the documents, publication charges, forwarding letter and photo ID should be addressed to the;
Controller of Publications, Department of Publication, Civil Lines, Delhi 110054.
It can only be submitted by post or personally. Submission through agents, advocates, or other channels is not accepted here. The applicant should also understand that their submitted document wouldn’t be returned.
How to Download Your Gazette After Publication?
Anyone can access the Gazette name change via following these simple steps:
- You must initially visit the e-Gazette website.
- Select the Gazette.
- Then tap or click on the Weekly Gazette as the category and select Part IV.
- Select the relevant Saturday/date range.
- Download the PDF & search the name using CTRL + F.
- Download the PDF for your records.
There is no need to get a physical copy from the department.
FAQs to Gazette name change form

Is there a ready to fill Gazette name change form?
No, the official guideline only provides you with the specimen for printing the matter. The document must be prepared based on everyone’s requirements.
Can I download the specimen and fill it out like a normal form?
No, it is not a conventional or universal form for a name change Gazette. It only guides you for preparing the required typed document on plain paper.
Should I sign the name-change document with my old or new name?
An old name’s signature must be used for signing the name-change document.
Conclusion
There’s no universal Gazette Name Change Form for everyone. Although the official guideline has the specimen, it only shows the required format for the form. You should prepare the form based on your own case and the applicable Gazette requirements.
The current requirements, fee, and submission instructions must be carefully checked before submitting anything to the Department of Publication because the requirements change over time.
