Student Information Update Form - University Of Houston Downtown
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1UHD Admission’s Office
UHD Registrar’s Office
Student Information
One Main Street, Ste S350
One Main Street, Ste N330
Houston, TX 77002
Houston, TX 77002
Update Form
ph: 713-221-8522
ph: 713-221-8999
fax: 713-223-7468
fax: 713-223-7438
Name, SSN, and DOB Updates
uhdadmit@uhd.edu
uhdrecords@uhd.edu
Student Information:
UHD ID Number:
Telephone:
First Name
MI
Last Name
Name Change:
Reason for Name Change:
Marriage
Divorce
Court Order
Naturalization
Change Name From:
First
Middle
Last
Change Name To:
First
Middle
Last
I acknowledge that original documentation (marriage certificate, divorce decree, naturalization certificate, etc.) must be
presented along with a copy of the updated social security card . tax i.d. card and an updated government issued i.d. when
requesting a name change or correction.
I acknowledge that my UHD assigned email address will be updated as well after the close of the current term. Please note
that there is a grace period of 10 business days to forward any important emails to another location before the deletion of
record and update is completed. Emails from the old email account can be forwarded into the new account or another location
starting on the Friday after the close of the semester. The old email account will be inaccessible after 10 days.
Naturalization Certificate No.
________________________
INS #A ________________________
FOR OFFICIAL
City ______________________ State ___________________
Date _________________________
USE ONLY
(if necessary)
Name as it appears on the Naturalization Certificate: _____________________________________________
Social Security Number / Taxpayer Identification Number Change:
Change From:
Change To:
I acknowledge that an updated social security card / tax i.d. card must be present as proof, as well as a copy of a valid
government issued i.d.
Date of Birth Change:
Change From:
Change To:
I acknowledge original documentation (valid government issued i.d., birth certificate, etc) must be presented when requesting
a date of birth change or correction
New students should submit this form to the Office of Admissions. Current and former students should submit
to the Registrar’s Office. Contact information is provided at the top of this form.
I authorize the University of Houston-Downtown to make the updates/changes to my student record as requested
above.
STUDENT SIGNATURE ______________________________________ DATE _______ / _______ / __________
For Office Use Only:
Received By ____________ Date __________
Processed By ____________ Date __________
Revised 11/2011
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