I, JEELANBASHAQURAISHI (Old Name), S/o. Shaik Basha Quraishi, residing at D.No. 5/116, Butcher Street, Kadapa Town, Kadapa Mandal, YSR Kadapa District, Andhra Pradesh, hereby declare that I have changed my name and surname to SHAIK JEELAN BASHA (New Name) and shall henceforth be known by this name for all purposes. Andhra Pradesh.