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APPLICATION TO REGISTER PERMANENTLY WITH A GENERAL MEDICAL PRACTICE ALL FIELDS MARKED * ARE MANDATORY AND MUST BE COMPLETED AS FULLY AS POSSIBLE1. PERSONAL DETAILS Is this your first registration
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To fill out your previous surname, you need to provide the name you used before your current surname.
02
Write down your previous surname in the designated space on the form or document.
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Make sure to double-check the spelling and accuracy of the previous surname you enter.
04
If you have multiple previous surnames, list them according to the chronological order in which you used them.

Who needs previous surname?

01
People who have changed their surname due to marriage, divorce, or legal name change need to provide their previous surname.
02
Individuals who are required to provide complete name history for background checks or immigration purposes may need to provide their previous surname.
03
In some cases, individuals may need to provide their previous surname to establish a connection between their past records and their current identity.
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Previous surname refers to the last name or family name that an individual held before changing it to their current surname.
Individuals who have legally changed their surname and are required to report it for documentation purposes, such as tax returns or legal forms.
When filling out previous surname forms, individuals should provide their last name as it was before the change, typically in a designated section of the documentation.
The purpose of reporting a previous surname is to maintain accurate records and ensure that all legal documents, tax filings, and identification match the individual's history and identity.
Individuals must report their previous surname, the date when the name change occurred, and any relevant legal documents that verify the name change.
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