Child Application - Form-V2

New Child Name Change

*Note: Please include any Middle Names with the Forename



Parent / Guardian - Forename(s) (*)

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Parent / Guardian -Surname (*)

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Relationship to Child (*)

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Gender of Child (*)

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Current Forename(s) (*)

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Current Surname (*)

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New Forename(s) (*)

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New Surname (*)

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Date of birth:
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Town / Place of Birth (*)

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Country of Birth (*)

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Type of Deed Poll Required: (*)

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Paper Deed Poll - £13.99
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Legal Copies ( x £2.00)
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1 Deed Poll + 4 Legal Copies - £19.99
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1 Deed Poll + 9 Legal Copies - £28.99
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1 Deed Poll + 19 Legal Copies - £35
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Paper Deed Poll - 16.99
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1 Deed Poll + 4 Legal Copies - £19.99
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1 Deed Poll + 9 Legal Copies - £28.99
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1 Deed Poll + 19 Legal Copies - £35
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International Delivery - £10
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Total

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When You Change Name: (*)
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Your Residential Address (*)

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City (*)

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County

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Postcode (*)

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Country (*)

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Postal Address - if different:

Post to above address?

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Postal Address:

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City

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County

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Postcode

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Country

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Contact Information

Telephone (*)

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Email (*)

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Any Other Information

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Information Preview

Parent / Guardian Name: .
Relationship: .
Gender: .
Current Name: .
New Name: .
Place of Birth: , .
Date of Birth: / / .
If Deed Poll is for a previous name change then:
Date of Name Change: / .

Home Address: .  .  .  .  .  .
Postal Address (if different):    .  .  .  .  .  ..

Telephone: .
email: .
Any Other Information: .

















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