to register change of name intended for an adult delivered overseas (18 years or perhaps over)
Births, Deaths and Marriages Enrollment Act 1995
Details being completed by the person whose name will be changed The Registrar may well not register a big change of name unless pleased: вЂў вЂў of the personality and regarding the person in whose name is to be changed the change of name is not wanted for a deceptive or different improper purpose
If you knowingly provide bogus information from this statutory assertion, you may be guilty of an offence under Section 57 from the Births, Deaths and Partnerships Registration Take action 1995. Section 57 вЂ“ False rendering: A person who the representation in an application, see or record under this Act or in response to a notice underneath Section forty-four of this Action (Registrar's powers of inquiry), knowing the representation to be bogus or deceiving in a materials particular, is definitely guilty of an offence. Maximum penalty: 100 penalty units or 2 years imprisonment, or perhaps both. I, (full identity presently being used)
(present non commercial address вЂ“ a PO Box is usually not acceptable)
Suburb Phone number
(daytime phone number)
(other phone number)
solemnly and sincerely announce that: вЂў вЂў вЂў I have examine and understand all the instructions in this file including вЂYour Right To Privacy' and вЂDisclosure of Information' I understand that it is punishable offence to give fake information in this application I realize that the NSW Registry of Births Fatalities & Relationships may verify or validate the validity of any document supplied with this app to establish identification and membership and enrollment for this change of brand for a grown-up to be signed up The new term stated below will be used by simply me for any purposes in the future and is certainly not sought to get fraudulent or improper reasons, and my own former name(s) will not be applied I solemnly believe this kind of declaration being true and correct and by advantage of the conditions of the Oaths Act early 1900s.
Statutory Declaration to register transform of brand for a grown-up born offshore (18 years or over)
Page 1 of six
New identity you want to sign-up вЂ“ to work with for all functions Family Term Given Name/s Name at birth вЂ“ initial name upon your birth certificate Friends and family Name Offered Name/s Sex Born at (full place of birth вЂ“ you must offer evidence of your place of beginning. ) Man Female
as well as
Father's Phone owner's name
(as recorded on birth certificate)
Mother's Full Name
(as recorded on birth certificate)
Name you are using at the moment Family Identity Given Name/s
Please list all prior names you could have used. Give evidence of how you have transformed your name. Failing to list all past names can result in your software being refused. Please affix a separate page if there are more than five (5) earlier names. Relatives Name Given Name/s Particular date Changed In which Changed
You have to establish evidence of your current identity and all various other names ever before used. All previous alter of name certificates inside your possession should be returned for the Registry when ever lodging a credit application as they are no more valid.
Statutory Declaration to register change of name to get an adult delivered overseas (18 years or over)
Page 2 of 6
Total reason(s) why you are changing your name
Be particular, for example , 1 or 2 word factors such as " personalвЂќ are certainly not acceptable.
Criminal history records
Do you permission to the Suceder obtaining your criminal record from your NSW Police in determining your application? You are not required legally to approval, but your program may be rejected if the Archivar is unsatisfied that the modify of name is not really sought to get a fraudulent or perhaps improper purpose. YES SIMPLY NO Have you ever been convicted of a criminal offence is punishable by a penitentiary sentence of 12 months or more? A confidence includes the making of your order under Section 12 of the Criminal offenses (Sentencing Procedure) Act 99. A certainty...