I, Brinda, holder of Indian Passport No. G2207535 in Dubai, D, AE
||Dubai, D, AE
I, Brinda, holder of Indian Passport No. G2207535, issued at Dubai, UAE, on 31/05/2007, resident of 7 Rajsurya Bunglow Randev Nagar Ahmedabad and presently working / residing at Sharjah / P.O.Box 81393, Sharjah, UAE, do hereby change my name from Brinda to Brinda (given name) Patel (surname), with immediate effect.