Student Change Of Legal Name Form

Change of Legal Name Form (SR1)

1. Person whose given or family name is to be changed (please print clearly)

Student ID Number:

Date of Birth / /

day month year

I wish to change my name from __________________________________________

(insert full legal name from birth certificate/passport)

To______________________________ __ Given Name

________________________________ Middle Name(s)

________________________________ Family Name

Original or Certified documentation (passport, marriage certificate and/or deed poll) must accompany this application

2. Signature of person wanting to change legal name

New Signature __________________________

Date / /

day month year

Previous Signature ________________________

3. Application Received:

Date Received : __________________________

Name of Person Receiving the application: __________________________

Signature: __________________________

Student System Updated YES/NO :__________________Date Updated: ____________

0 votes

Parent category: Legal