Scribd
Upload
1K views1 page

Difference in Name Affidavit Template

This affidavit explains a difference between the applicant's birth name and current name on their application for the National Dental Examining Board of Canada's equivalency process. The applicant swears that they are the same person referred to by both names and any documents submitted under different names represent the same individual, as the name variations listed are for the one and same person and not name changes.

Uploaded by

Marina Joel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
1K views1 page

Difference in Name Affidavit Template

This affidavit explains a difference between the applicant's birth name and current name on their application for the National Dental Examining Board of Canada's equivalency process. The applicant swears that they are the same person referred to by both names and any documents submitted under different names represent the same individual, as the name variations listed are for the one and same person and not name changes.

Uploaded by

Marina Joel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

AFFIDAVIT

IN THE MATTER OF THE NATIONAL DENTAL


EXAMINING BOARD OF CANADA APPLICATION
FOR THE BOARD EQUIVALENCY PROCESS

AND IN THE MATTER OF AN AFFIDAVIT OF


DIFFERENCE IN NAME

I, the undersigned [insert current name], applicant to the National Dental


Examining Board of Canada (“NDEB”) Equivalency Process, aged, [insert current age],
residing at [insert current residential address], MAKE OATH AND SAY AS FOLLOWS:

1. I am the deponent herein

2. My birth name is [insert name]

3. [explanation for difference in name]

4. Therefore, the following names refer to the one and same person:
[list all variations of your name]

AND THAT any of the documents filed with and in support of the application of
[insert current name] for the NDEB Equivalency Process, that have the names listed
above, for example, university documents and government issued identification
documents, represent one and the same person.

AND THAT the above are the variations of the same name and should be
considered the same person and are not name changes.

SWORN BEFORE ME at the City of


[X] in the Province of [X], on this
[date].

[insert current name]


Notary Public/Commissioner of Oaths

4174260 v1

You might also like