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HomeMy WebLinkAbout10-7890Commonwealth of Pennsylvania County of CUMBERLAND Name of Petitioner(s): RESHMA FARHEEN, SHAIK AHAD MAHAMAD Court Docket No. /Q In re: Change of Name of Minor From: RAYAN AHMAD MOHAMMED ;-° To: SAMI ABDUL MOHAMMED rn PETITION FOR CHANGE OF NAME OF MINOR Petitioner(s) makes (make) the following declaration: n, c t-? co 1. Birth Date and Place: The minor was born on NOVEMBER 30TH , 20 05 tat ISLEWORTH [city], HOUNSLOW [county], .. rQ LONDON BOROUGH OF HOUNSLOW, UK [state]. A certified copy of the minor's birth certificate is attached to this petition. 2. Birth Name: The minor was named RAYAN AHMAD MOHAMMED at birth, and as of the date of this petition, the minor has always been known by that name, with the following exceptions, if any: NA all legal names previously held]. 3. Residence: The minor resides at 2009 WARREN WAY, MECHANICSBURG, PA - 17050 [insert the minor's residential address] and has lived at this address for 2YEARBMONTHS [insert length of time in months or years at this address]. The Petitioner(s) resides (reside) at 2009 WARREN WAY, MECHANICSBURG, PA - 17050 [insert residential address] and has (have) lived at this address for 2YEA11 6MONTHs [insert length of time in months or years at this address]. 4. Minor's Parents: The father of the minor is named AHAD MAHAMAD 2009 WARREN WAY, MECHANICSBURG, PA - 17050 and he resides at [insert residential address of father] RESHMA FARHEEN SHAIK The mother of the minor is named , and she resides at 2009 WARREN WAY, MECHANICSBURG, PA- 17050 [insert residential address of mother]. 5. Reason for Name Change: Petitioner(s) seeks (seek) to change said minor's name to SAMI ABDUL MOHAMMED and offers (offer) the following reason(s) for seeking to do so: RELIGIOUS REASON 6. Legal and Creditor Status: The minor does not have any outstanding judgments, has never been convicted of a crime, and is not involved in any pending legal actions. -1 S?°1 rn C° _ c3 r,->: ?_ jrn J4a.oo PO AFF CR3N 7. Additional Declarations: In addition to the foregoing statements, the Petitioner(s) further declares (declare): NA [insert additional declarations, if any]. NOW, THEREFORE, the Petitioner(s) requests (request) that the court order the minor's name changed as follows: From: RAYAN AHMAD MOHAMMED To: SAMI ABDUL MOHAMMED Verification (Petitioner #1) 1, RESHMA FARHEEN SHAIK [name of Petitioner], affirm under penalty of perjury that I am the (a) Petitioner in the foregoing Petition to Change Name of Minor and that all statements in this Petition are accurate to the best of my knowledge. Petitioner's Signature 12/27/2010 Date 2009 WARREN WAY Petitioner's Address, Line 1 MECHANICSBURG, PA - 17050 Petitioner's Address, Line 2 Verification (Petitioner #2, if any) 1, A"D MA-" A-D [name of Petitioner], affirm under penalty of perjury that I am the (a) Petitioner in the foregoing Petition to Change Name of Minor and that all statements in this Petition are accurate to the best of my knowledge. 12 12- 2v? Petitioner's Signature Date "01 G,/i?-f-f- ely Gil A:y Petitioner's Address, Line 1 Petitioner's Address, Line COMMONWEALTH OF PENNSYLVANIA COUNTY OF ?u m6G'? ?u Subscribed and sworn to before me on thiscR`eday of Dec:.P-h,bei- , 20 I Notary N?rAL7}I QF ? NOTARIAL SEAL LN MWWYER, Nobly Fnbk Camp W Sm. CumbedwW Ow* 1My Ooxa#WO ExOm Febnwy 12, 2013 Commonwealth of Pennsylvania Court County of.. U M &F P An41D Docket No. Name of Petitioner(s): In re: Change of Name of Minor FS 11 m A F E-GW S4W1L From: RA y AW A UW t-D m01fA M M E D APAP mA l+>4nnA To: SAMT Al'Sp(ZL. MppA1n FD CONSENT TO CHANGE OF NAME OF MINOR I make the following declaration: 1. Name: My name is A 14 A Q m A f A Al A D , and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any: kA- 2. Residence: I reside at 2001 WA-2p F_-A/ W", fVl F-C 14 A10C-98Uk6i) PA - 0 vS-o [insert the residential address] and have lived at this address for [insert length of time in months or years at this address]. 3. Consent to Change of Name of Minor: I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows: From: RAIIAN A404-0 MOKA-M/Y P-D To: SAM Ag D X11 M rs 1+Afr M SD Verification I, A-I+ A D Al A 1+,4, m qD [name of individual granting his or her consent], affirm under penalty of perjury that all statements in this Consent to Change of Name of Minor are accurate to the best of my knowledge. ILII?? 1Z_/20/1-010 Signa a Date 'X001 ?44*j?_€ fi t?l+ y Address, Line 1 rn cif?f ? N i Address, Line 2 COMMONWE TH OF PENNSYLVANIA COUNTY OF Subscribed and sworn to before me on this ol day of N.tlpqrn (&- 2010 ??6a Notary w ig& ??d VFW CERTIFICATE a. OF 13'IRTH Name and Surname Rayan Ahmad MOHAMMED Sex Male Date of Birth Thiut nth November 2005 Place Registration of Di strict Hounslow Birth Sub-districtHom slow jD.Smith Deputy Registrar of Births and Death:, for the sub-district of Hounslow ; si g ht° Registration District ofHounslow do hereby certify that the above particulars have been compiled from an entry in a register in my custody. Date ,. 07/12/2005...::.il- rh .... Registrar t> 'Births and Death IC78CI95 CAUTION: THERE ARE OFFENCES RELATING TOO FALSIFYING OR ALTERING A CERTIFICATE AND USING OR POSSESSING A FALSE CERTIFICATE,. (? CROWN COPYRIGHT WARNING: A CERTIFICATE IS NOT EVIDENCE OF IDENTITY. Pursuant to the Births and Deathis Regst.rat Act 1953 SIRTH Entry No. 195 RegisUation disaict Hounslow Admir tive area London Borough of Hounslow sub-district Hounslow 1. Daft and place of birth CHILD Thirtieth November 2005 West Middlesex Hospital, Isleworth 2. Name and surname 3. Sex Rayan Ahmad MOHAMMED Male 4. Name and surname FATHER Ahad MAHAMAD 5. Place of birth 6. Occupation India Administrator 7. Name and surname MOTHER Reshma Farheen SHAIK 8.(a) Place of birth 8.(b) Occupation India Student 9.(a) Maiden sun ne 9.(b) Surname at marriage if different from maiden surname SHAIK 10. Usual address (if dWerent from place of child's birth) 44 Pears Road, Hounslow, Middlesex 11. Name and surname (if not the mother or father) 14F M, T 12. Qualification Father 13. Usual address (if erent: from that In 10 above) 14. 1 certify that the particuiers entered above are true to the best of my knowledge and beef Ahad Signature of informant 16. Date of registration 16. Signature of registrar Seventh December 2005 D.Smith Deputy Registrar 17. Name given after region, and surname Certifi to be a? tLue copy of an entry in a register in my cusWdy. f?.1? *S { ?yl? Date ?. JZ, .Registrar .Strike out whichever does not apply CAUTION: THERE ARE oFFENm RELATING TO FALSU'nXG OR ALTERING A Ch nM:gCATE AND USING OR POSSESSING A FALSE CERTIFICATE. °CROWN COPYRIGHT WARDING: A CER'I MCATE W NOT EVIDtEDCE OF u)ENTITI . . I?a? . EAC 08-202-5329 L C AP,P, I ATION TO, EXTEND/CHANGE NONIMMIGRANT.STATUS RECEIPT DATE PRIORITY DA -M APP fCA Jelly 16 , 2008 . SHAI K., . RES A FARHEEN NOTICE DATE PAGE BENEFICIARY September 15, 200 3 of 1 MOHAMMED, RAYAN AHMAD RESHMA FARHEEN SHAITf Notice Type: Approval Notice C/O AHAD MAHAMAD Class: H4 1000 COMMERCE DRIVE 500 Valid from 09/15/2008 to 06/16/2011 PITTSBURGH PA 15275 The above application for extension gf`stay is -approved The horary,stay of the named applicant(si is authorized to the.date`shown above. i The nonimmigrant Status of tkaa' appli.catit(s) is'based,"on Ghe se ?E onimmigrant status held by a principal alien's authorized employment in the United'Stat'es. t r = y r' :r ? s; The applicant must keep the lower portion with his.'oil previoua?f6xm 1-94, Departure Record. It must be presented when requested by USCIS. The person must turn in his or her i;34.y&en leaving the United States. Please read the back of tnio,.form carefully for moss info Cioe. THIS FORM IS NOT A VISA NOR MAY IT BE USED 114 PLA6E OF A: A ?. a? a d I ?. urn, 'T 3 06t7 01C .,• ... . _..... dyy.A<uf?,' ftL:3J •. 2I:2 t'_ 5 _:.k..?NA S' ?: pi•,. ..?i .. 4. .,. Please seethe additional infdrnxation on theback. You twill be notified. sep atety a t any other cases you filed.. IMMIGRATION . & NATiiRAI,I ZATION SERVICE VIvRRiT SERVICE 'CENTER 75 LOVER WELDEN •S' T SSAII?T AL13WS VT 050:9-000,1 Cudtd3>iter Strkvi qe' 'Fe2'epholie: (800) 375-5283 PLEASE TEAR OFF FORM 1-94 PRINTED BELOW, AND STAPLE TOORIGtNAL I-94 IF AVAILABLE Detach This Half for Personal Records $720188$7 12 Receipt # EAC-08-202-53293 Receipt Number EAC-08-202-532.93 I-94# 872038887 12 Immigration and NAME MOHAMMED, RAYAN AHMAD ? Naturalization Service CLASS H4 1 .I-94 vAI.rD FROM 0,9/ls/2©oa uN-Tl ,, .06,/1440-11 I Departure Record Petitioner: PERMIONM SRAIK, RESHKA PARKE$I+i t4`MQY D 1,000 CCmmgpG'E -Wlvk S'00 15 firm (c:r e)N re D mte ;n, PITTSBURGH PA 15275 RAYAN AHMAD 13/3001005 17. Cotmtry of Citizembip -- UNITED KINGDOM Form I-797A .(Rev. 10/31/05) N Department of Homeland Security U.S. Citizenship' and Immigration Services I-797A. Notice of Arflan U.S. Citizenship and Immigration Services 137"A, Notice of Action EAC-08-202-53264 :ECEIPTDA'1'Fi PRI(RMlYATE PETITION H -FOR A NONIMMIGRANT WORKER July 16, 2008 PET )NPR WILE DATE PAGE IGATE MASTECH.'INC AN IGATE COMPANY September 15, 2008 1 of 1 R ,NEFI 1ARY _ MAHAtt'!AD ; AHAD IGATE MASTECH INC AN IGATE COMPANY Notice C1. Type: Approval Notice H C/O TRIPTI NOORANI VP-IMMIGRATION ass: Valid IB from 09/15/2008 to 06/16/2011 1000 COMMERCE DRIVE 500 PITTSBURGH PA 15275 The above petition and extension of stay have been a r class fication pP 4 ed• 'Eh!e.,sLatus of the named foreign worker (s) in this is valid as indicated above. The foreign worker ( can work for the petitioner, but only as detailed in t;he petit nn and for the ueriod aut1i4rized-. Any changq in emo.+oM, 04t requirf;t; a new :petition Since this employment authorization stems from the filing of this petition, separatN e?i?L, ent authorization documentation is not :required. Please contact the IRS with any questions about tax y: hhp14c . y + The petitioner should keep the upper portion of thief r 'r portion should be given to the worker. He or she should keep the right part with his or, her Form Ih 24, Arr/ IK2118'i4Ure Record. This should be turned in wit'I the I-94 when departing the U.S. The left part is for his or(Wei Lords. A person granted an extension of stay who leaves the U.S. must normally obtain a new visa before returnin g#iY?ft part',can be used•'in. applying for the new visa.: If a visa is not required, he or she should present a7 Sari other,requised documentation, when applying for reentry in this new classification at 'a port of e`ntt'y of ?li xnsp?ct'Ion station. 'T3ie petitioner may also f"i:lE Form 1-824, Applica on for ACtion on an A' ©iPe? PP)r ' Apptrcatidn etM? th this office to request that we notify a consulate, port of entry, or pre flight inspection office of a royal. The approval of this visa petition does. not in itself gra i ation status and does not guarantee that e alien hene iciary will- supsequesgt4y use Eoipy4 .tq be;ekigible for hkl ail,%fox isgiha to the '.Inite;d States, or for an extension, 2ange, 6r adj'u'stment of spates. THIS FORM IS NOT A V! SA NOR MAY IT HE USED 114 PLACE OF A VISA. Please see the additional information on the back.. You -will be notified: separately about any other cases you filed. IMMIGRATION & NATURALIZATION SERVICE VERMONT SERVICE CENTER 75 LOWER WELDEN STREET SAINT ALBANS VT 05479-0001 Cil.stomez Service' Tel'ephaae: (800) 375=5283.' I on, Form 1797A fRs.v. 69/07/93.)N PLEASE OFF FORM 1-94 PRINTFD8r_LOW, A:yD STAPLE TO _..L?-94 IF I -- Detach This Half for Personal Records 4 201852467 12 Receipt # EAC-08-202-53264 Receipt Number EAC-08-202-53264 I-94# 201852467 12 Immigration and NAME MAHAMAD, AHAD ? Naturalization Service CLASS H113 I I-94 VALID FROM 0 9115 / 2 0 0 8 i1NTTL. 06/16/2011 Departure Record Petitioner: IGATE 'MASTi;CH t PETITIONER:, IGGATE MASTECH I]xQ.AN zr,AT ( f ".?.. ?Aft 1I3Q GOI RCE,•Iy2IvE S{I0 HAMAD S. (("riven}Nang .. - . - PITTSBURGH PA 15275 i6 Daµ'gigi,t4 AD _ 06/!4/1.976 DIA Form I-797A.(Rev. 10/31/05) N 1 0 Department of the Treasury Date of this notice: 04/0912007 Internal Revenue Service Number of this notice: CP565 qg5jM AUSTIN, TX 78714-9342 Form: W-7 Case Reference Number: 20294082311207 DOB 1 1 /30/2005 000740.37552EE3.0 (003.0FF01 1` XB 0.326 405 1111 IIIIIIIIIIIId] 11111tl61fI1111tfIl171blt1ff 1111f.t11l1111 For assistance call us at: RAYAN AHMAD.MOH+4MED (215) 516-4846 837 ESTER AVENUE`, 2ND FLOOR For international caflers: TEANECK, NJ 07666 (215) 516-4846 This is not a toll-free number Or you may write to us at: Internal Revenue Service PO Box 148342 AUSTIN, TX 78714-9342 WE ASSIGNED YOU AN IRS MDMO UALI-AXPAYERIDEWIFICATK3fdNUMBER (ITIN) Thant you for your Form W-7, Applicaborr#Rr IRS Ind der Ident ation Number (ITIN). We assigned you the number shown above. Please keep afegLiard this sauce. If part of name and/or address is incorrect, please notify us in writing at the address shr, n this gage and include a copy, is notice. The following is true about your assign": r • It is for federal tax puirpeseo for q nple, to file '.'4 • It is not a social security nwt but an identificaabi- x" issued by IRS. • It does not entitle you to social '' rity lets or the Earn ' e Tax Credit (EITC). If you do not use your I V to fb return or other f` ' urWse?lrt can be revoked. It does not change your '6*igfatiori ma ? ible to' w?lrk in the United States. Please use your [TIN when an SSN is reed on ahy U.S. federal income tax return or other Federal tax purposes. Use your complete name and ITIN on correspondence wi#4 ft IRS, including tax returns, tax payments, and refund claims. Using any variation in your name or ITiN may cause processing delays and incorrect information on your account. If you change your name, please send a copy of this notice along with documentation supporting the name change to the address shown above, or visit your local IRS office, so we can update our records. Examples of acceptable supporting identification documentation include a marriage certificate or court record. If you become a U.S. citizen, or kKial residentafien authorized by the U_S. Citizenship and Immigration mss, you wilf be elijible to get an SSN. You must tf;en apply for an SSN from the Se 'Security AdTinistrataen and start using that number for tax purposes instead of your ITIN. When you receive an SSN, pkmse send a copy of your social security card with a copy of this notice to the address shown above, or visit your local IRS office, so we can update our records. If you have questions, please call us at the number shown above. ehv .Rfyl????d?'ro A N z 1. v N 3 00 O -.% S W 3 2 m C7 C! 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(4 N b;;.c ......v f IN RE: PETITION FOR IN THE COURT OF COMMON PLEAS OF CHANGE OF NAME CUMBERLAND COUNTY, PENNSYLVANIA RAYAN AHMAD MOHAMMED : NO. 10-7890 CIVIL IN RE: PETITION FOR CHANGE OF NAME ORDER OF COURT AND NOW, this 4th day of January, 2011, upon consideration of the Petition for Change of Name, IT IS HEREBY ORDERED AND DIRECTED that a hearing will be held on Wednesday, March 30, 2011, at 11:00 a.m. in Courtroom No. 2 of the Cumberland County Courthouse, Carlisle, Pennsylvania. IT IS FURTHER ORDERED that notice of the filing of said Petition and the aforesaid date, time and place of the hearing be published once in the Cumberland Law Journal and a newspaper of general circulation in the County at least 10 days prior to the hearing; in addition, Petitioner shall comply with all other requirements of the C.C.R. P. 5, 54 Pa. C.S. §701, 702. By the Court, ' & -, /Ahad M. L. Ebert, Jr., J. Mahamad .?? Reshma Farheen Shaik q M Parents, Petitioners ?t" fl l C-- .?. bas Cj c_ rn =y -am o -+ o -„ ?C-) 0 0 371- D