Fillable Studentnamechange (Pepperdine University)

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Studentnamechange (Pepperdine University)

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Last Revised: October 31, 2008 Page 1 of 1
Student Request for a Name Change
Your name and e-mail address will be changed within a few days of your request.
Network Login ID:
Please attach a copy of one or more of the following legal and supporting documents:
Marriage Certificate
Court Order approving the change of name
Others (specify):
Registrar's Office (or School of Law) Use Only
Processed by: _______________________________________ Date: ____________________
(Name of Staff)
Date:
CWID Number:
Please change my name from (last, first, middle):
to (last, first, middle):
Student's Signature: ___________________________________
Date:
Student's School:
Student's Phone Nr:
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Completed 23 July 2020

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