**AFFIDAVIT**
I,(Dead Name/Given Name), Child of (Parent Name ), residing at -(Address), do solemnly affirm and declare as under:
- I am currently residing in the above address.
- I perceive myself as a (Gender>Male/Female/Transgender) person whose gender does not match with the gender assigned at birth.
- I declare myself as (Gender>Male/Female/Transgender).
- I am executing this affidavit to be submitted to the District Magistrate for issue of certificate of identity as (Gender>Male/Female/Transgender) person under section 7 of the Transgender Persons (Protection of Rights) Act,2019 read with Rules 3 and 6 under Rule Transgender Persons (Protection of Rights) Rules, 2020.
Deponent
(Signature of the Applicant)
**Verification**
I,(Dead Name/Given Name), herby state that whatever is stated here in above serial No’s. 1 to 4 are true to the best of my knowledge.
Deponent
(Signature of the Applicant)
Date:
Place:
Identified by: (Leave this place for Notary to fill)
This affidavit is only for gender change for name and gender change there is another format which is not with me. If you are changing your name also you can add it immediately after point 1 and if you want to mention about your medical intervention then you can mention that after point 3 and before point 4. Do remember to correct the serial number mentioned for verification if you are adding any point.