Table A must be completed – * Mandatory fields. If left blank, your request will be returned to you for amendment. First name * Surname * Date of birth * Residential address * Postal address (if different from above) (home) (work) (mobile) One (1) contact number * Email address Student number Table B indicate and complete rows where appropriate – ** Only can be changed where data entry errors have been made. First name Surname Date of birth** Residential address Postal address (if different from above) (home) (work) (mobile) Contact number Email address Student number
Table A – must be completed * Mandatory fields. If left blank, your request will be returned to you for amendment. First name * Surname * Date of birth * Residential address * Postal address (if different from above) One (1) contact number * (home) (work) (mobile) Email address Student number Table B – indicate and complete rows where appropriate ** Only can be changed where data entry errors have been made. First name Surname Date of birth** Residential address Postal address (if different from above) Contact number (home) (work) (mobile) Email address Student number
Change-of-Details-Form_V1.3.docx