Affidavit for Name Change in Passport
I. Personal Information
I, the undersigned individual, hereby declare the following details for the purpose of executing a name change on my passport. Below are my current personal details:
A. Current Personal Details
Full Legal Name: Jewell Ward
Date of Birth: November 8, 2050
Place of Birth: Houston, TX 77001
Current Residential Address: Houston, TX 77001
Current Passport Number: TX 700021
Nationality: American
II. Details of Change
A. Proposed New Name
First Name: Jewel
Last Name: Ward
B. Reason for Name Change
Personal preference
III. Supporting Documents
To support my request for a name change in the passport, I have attached or will provide the following documents:
Original or certified copy of the name change certificate or deed poll.
Updated identification documents reflecting the new name, if available.
Proof of marital status (e.g., marriage certificate, divorce decree), if applicable.
Any other relevant documents: [Specify any additional documents provided]
IV. Declaration
I hereby declare under penalty of perjury that all information contained in this affidavit is true and correct to the best of my knowledge, and I undertake to notify the passport authority of any changes to the information provided herein.
Signature
Jewell Ward
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