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This form is used by patients of Dr Bathla & Partners to notify the practice of a change in name or address. It requires completion of patient details, old and new address information, and a justification

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How to fill out change of nameaddress form

01

Obtain the change of name/address form from the relevant authority or website.

02

Fill out your current name and address in the designated fields.

03

Indicate your new name and/or address in the specified sections.

04

Provide any necessary identification or proof of the change, such as a marriage certificate or utility bill.

05

Sign and date the form where required.

06

Submit the completed form to the appropriate department, either in-person or via mail, as specified.

Who needs change of nameaddress form?

01

Individuals changing their legal name due to marriage, divorce, or other reasons.

02

People moving to a new residence who need to update their address.

03

Any person who requires official documentation to reflect changes in name or residence for legal, financial, or personal purposes.

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What is change of name/address form?

A change of name/address form is a document used to officially notify an organization or authority of a change in an individual's name or residential address.

Who is required to file change of name/address form?

Individuals who have legally changed their name or moved to a new address are typically required to file a change of name/address form with relevant organizations, such as government agencies, banks, and other service providers.

How to fill out change of name/address form?

To fill out a change of name/address form, you usually need to provide your current name, new name (if applicable), current address, new address, date of the change, and any relevant identification information.

What is the purpose of change of name/address form?

The purpose of a change of name/address form is to ensure that official records are updated with your current name and address so that you can receive communications and services at the correct location.

What information must be reported on change of name/address form?

The information that must be reported typically includes your full current name, new name (if applicable), current address, new address, effective date of change, and any identification numbers associated with your records.

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