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Todays Date: ___ Patients Name: ___ Date of Birth: ___ AKA (nickname): ___ BIRTH HISTORY Place of Birth ___ Birth Weight ___ Problems at Birth N Y___ ___ ___ Number of days in the hospital #___ Premature?
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How to fill out aka nickname

01
Go to the appropriate section of the form or website where the aka nickname is required.
02
Locate the field or box labeled 'AKA' or 'Nickname'.
03
Enter the preferred nickname or alias that you would like to be known by.
04
Make sure the aka nickname is appropriate and professional if the form is for official purposes.
05
Save the changes and submit the form if required.

Who needs aka nickname?

01
People filling out forms or applications that require an alternate name or alias.
02
Those who go by a different name than their legal name and want it to be acknowledged.
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An aka nickname refers to an alternative name or alias used by an individual or business, often for legal or identification purposes.
Individuals or businesses that use an aka nickname for legal purposes, such as conducting business under a different name, are typically required to file.
To fill out an aka nickname, provide the required personal or business information, including the alias, legal name, address, and any relevant identification numbers, on the appropriate form.
The purpose of an aka nickname is to officially recognize an alternate name for legal, business, or identification purposes, ensuring transparency and proper record-keeping.
Information that must be reported includes the legal name, aka nickname, address, purpose of the nickname, and any affiliation or related entities.
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