Sample deed poll in Tanzania by Johnson Yesaya.

THE UNITED REPUBLIC OF TANZANIA

THE OATHS AND STATUTORY DECLARATIONS ACT,

 (CAP 34 R.E, 2002)

AFFIDAVIT FOR CHANGE OF NAME 

THIS CHANGE OF NAME DEED is made this 23^rd day of September 2020 by me JOHNSON YESAYA MGELWA, formerly known as JOHNSON YESAYA, or sometimes as JOHNSON Y. MGELWA of Post Office Box Number 000000, a resident of Dar es Salaam,  now or until recently called JOHNSON YESAYA.

WITNESSES AND IT IS HEREBY DECLARED as follows:

1.    I absolutely renounce and abandon the use of my said former names of JOHNSON YESAYA and JOHNSON Y. MGELWA, and I assume and determine to take and use the new name of JOHNSON YESAYA MGELWA in substitution of my former names of JOHNSON YESAYA. and JOHNSON Y. MGELWA.

2.            AND IN PURSUANCE of such change of name(s) as aforesaid I DECLARE I shall at all times hereafter in all records, documents and other writings and in all actions and dealings and on all occasions whatsoever use the new name of  JOHNSON YESAYA MGELWA in substitution for my former names of  JOHNSON Y. MGELWA and JOHNSON YESAYA so relinquished as aforesaid to the intent that I may hereafter be known not by the aforesaid former names, but by the new name of JOHNSON YESAYA MGELWA only.

3.          AND I HEREBY AUTHORISE AND REQUIRE all persons at all times to describe and address me by the new name of JOHNSON YESAYA MGELWA

IN WITNESS whereof I have hereunto subscribed my new name of JOHNSON YESAYA MGELWA, and have affixed my signature the day and year herein written.

SIGNED and DELIVERED by the said

JOHNSON YESAYA MGELWA introduced to me by --- -------------------, the later known to me  personally  in my  presence  this 23^rd day of September 2020.


                            ........................................................
                                           DEPONENT

BEFORE ME:

 

Name: ……………………………………..

Qualifications………………………………

Address…………………………………….

Signature: …………………………………..

Date: ……………………………………….