MODEL - D Address:..................................... Date : ................. To, The Civil Registrar Sub: Endorsement in change of name in marriage register Sir, I got married to Smt/Shri ......................................... as per your marriage register No........ year................. As per Hindu Religious Rites my/wife's name was changed from......... to................My wife/husband expired on ........................... I have to request you to please endorse the change of name of my wife/myself in the aforesaid marriage register No................dated........... of your office. ( Death certificate attached ) Thanking you in anticipation Yours faithfully,