University Of The Virgin Islands Change Of Student Data Form printable pdf download

University Of The Virgin Islands Change Of Student Data Form

CHANGE OF STUDENT DATA FORM

Please print your name and social security number as indicated on your current records.

Name: _________________________________________ _______________________

Last

First

Student ID Number

To make changes or corrections, print only the information that requires changing on

the left of the form and the correction on the right.

CURRENTLY ON RECORD

NEW/CORRECTION

Permanent Address

_______________________

______________________

_______________________

______________________

_______________________

______________________

_______________________

______________________

Mailing Address

_______________________

______________________

_______________________

______________________

_______________________

______________________

_______________________

______________________

Telephone Number

( ___ ) ______-__________

Home

( ___ ) ______-__________

Work

Change of Name

Last

First

Change of Marital Status

Last

First

Documentation Required

I declare that the above information

Copy of Marriage Certificate

is true and correct to the best of my

knowledge.

Legal Name Change Affidavit

Student’s Signature________________________ Date___________

University Of The Virgin Islands Change Of Student Data Form

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