Fillable Name Change Request Form - May 22 2020 Name Change Request Form

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Name Change Request Form - May 22 2020 Name Change Request Form

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Country of origin: CANADA
File type: PDF

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Updated February 2020
Students are required to submit the Name Change Request Form to make any changes to their current name on
record at Tyndale University.
Acceptable documentation must be provided along with this form.
Only current students may change or update their names on record.
Students can check their current personal information in the system by logging in at classes.tyndale.ca.
A. Personal Information
Student Number: ____________________________________ Date of Birth (mm/dd/yyyy): ______________________
Email (not MyTyndale): _______________________________ Daytime Phone: ________________________________
B. Documentation Required (select one)
Driver’s License
Passport
Marriage Certificate
Permanent Resident Card / Canadian Citizenship Card
Birth Certificate
Ontario Photo Card
C. Legal Name (please print clearly)
Current Name on Record:
First Name: ___________________________________________________________________
Middle Name(s): _______________________________________________________________
Last Name: ____________________________________________________________________
Requested Name Change (according to documentation provided):
First Name: ___________________________________________________________________
Middle Name(s): _______________________________________________________________
Last Name: ____________________________________________________________________
*By signing below, I confirm that the information provided above is accurate and true.
STUDENT SIGNATURE: ____________________________________ DATE: ___________________________
OFFICE OF THE REGISTRAR’S USE ONLY:
Received on:
Supporting documents verified by and on:
Registration Officer:
Changes made to: EX Student’s Physical File
By:
Date:
NAME CHANGE REQUEST FORM
Office of the Registrar
3377 Bayview Avenue, Toronto, ON, M2M 3S4
Tel: 416.226.6620 ext.6711 Fax: 416.226.4210
Email: registration@tyndale.ca Webpage: www.tyndale.ca/registrar
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Name Change Request Form - May 22 2020 Name Change Request Form

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Completed 3 July 2020

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