Form Nat 2817 - Change Of Details For Individuals Page 3
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7Section B: Do you want to change your name or address details?
Go to section C.
Complete this section.
No
Yes
Complete the following questions where your details have changed.
6
What is your new full name?
This is the name that appears on all official documents or legal papers.
If you are in business (that is, a sole trader) this information will be used to update your details
on the Australian Business Register.
Title:
Mr
Mrs
Miss
Ms
Other
Family name
First given name
Other given names
You must provide one of the following identity documents to support your change of name. It needs to be a certified
copy. Certified copies of documents you mail to us may not be returned to you. We may check the supporting documents
you supply with the agencies that issued them.
Supporting documents
Australian full birth certificate (not an extract)
■
Australian change of name certificate
■
Australian marriage certificate
■
Australian passport
■
Australian visas (using information obtained from your foreign passport)
■
Australian citizenship certificate or extract from Register of Citizenship by Descent (all pages must be provided)
■
Australian drivers licence
■
Australian Medicare card.
■
If you are a foreign resident and cannot provide one of the documents listed above, you can provide a certified copy
of one of the following documents:
National photo identification card
■
Foreign passport
■
Foreign birth certificate
■
Foreign marriage certificate
■
Foreign government identification
■
Foreign drivers licence.
■
For more information on certified copies of documents, refer to:
Copies of documents – applicants within Australia
■
Copies of documents – applicants outside Australia
■
7
What is your new postal address?
(Your mail will be sent to this address.)
For example, your home address, your post office box or your registered tax agent’s postal address.
Suburb/town/locality
State/territory
Postcode
Country if other than Australia
If you are in business, would you like this address information to be updated on the Australian Business Register?
(This is the address where government departments and agencies will send notices and correspondence.)
No
Yes
Sensitive (when completed)
Page 3
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