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1. Title and Introduction: Formal title of the document and introduction of the deponent with current legal name and address
2. Oath Statement: Standard declaration that the deponent is making the statement under oath or solemn affirmation
3. Personal Information: Deponent's current legal name, date of birth, place of birth, and current address
4. Statement of Discrepancy: Clear explanation of the different versions of the name that exist and specific details about where these variations appear
5. Origin of Discrepancy: Explanation of how and when the name discrepancy occurred
6. Document Listing: List of all official documents where different versions of the name appear
7. Identity Confirmation: Statement confirming that all names refer to the same person
8. Supporting Evidence Reference: Reference to attached supporting documents that verify the claims
9. Declaration of Truth: Formal statement affirming that all information provided is true and correct
10. Signature Block: Space for deponent's signature, date, and notary/commissioner details
1. Marriage History: Required when name discrepancy involves marriage-related name changes
2. Immigration History: Required when name discrepancy involves immigration documents or international travel
3. Cultural Name Explanation: Required when discrepancy is due to cultural naming conventions or translations
4. Previous Legal Changes: Required when there have been prior legal name changes
5. Third-Party Declarations: Required when other individuals can attest to the name usage history
6. Correction History: Required when previous attempts have been made to correct the discrepancy
1. Schedule A - Identity Documents: Copies of all relevant identity documents showing name variations
2. Schedule B - Supporting Documents: Additional documentation supporting the explanation of discrepancy
3. Schedule C - Witness Statements: Statements from witnesses who can verify the name usage history
4. Appendix 1 - Document Inventory: Detailed list of all documents where name variations appear
5. Appendix 2 - Chronology: Timeline of events related to the name discrepancy
Legal Name
Name Variation
Name Discrepancy
Identity Document
Official Document
Supporting Documentation
Vital Records
Birth Certificate
Government-Issued Identification
Primary Identification
Secondary Identification
Commissioner of Oaths
Notary Public
Sworn Statement
Solemn Affirmation
Legal Given Name
Surname
Maiden Name
Married Name
Alias
Transliteration
Cultural Name Equivalent
Legal Entity
Personal Information
Name Variation
Document Authentication
Evidence Reference
Supporting Documentation
Truth Declaration
Oath Statement
Witness Authentication
Document Listing
Verification Statement
Historical Record
Marriage Declaration
Immigration Status
Cultural Context
Prior Correction
Signature and Attestation
Notarial Certification
Legal Purpose
Usage Declaration
Legal Services
Banking and Financial Services
Government and Public Administration
Immigration Services
Healthcare
Education
Human Resources
Real Estate
Insurance
Transportation
Legal Operations
Human Resources
Compliance
Risk Management
Customer Service
Documentation
Identity Verification
Regulatory Affairs
Records Management
Administrative Services
Legal Administrator
HR Manager
Compliance Officer
Identity Verification Specialist
Immigration Officer
Bank Manager
Records Manager
Documentation Specialist
Legal Assistant
Notary Public
Commissioner of Oaths
Risk Assessment Officer
Customer Due Diligence Officer
Regulatory Compliance Manager
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