JP Register name change form

  1. Complete the form
    1. Are you recognised as any of the below? *
    2. (If you chose ‘None of the above’ above)

      To use this form you must be a Justice of the Peace or a Commissioner for Declarations.

    1. What is the reason for your name change? *
    2. (If you chose ‘Marriage’ above)

      Please provide a copy of your marriage certificate.

    3. (If you chose ‘Separation / Divorce’ above)

      Please provide a copy of either your marriage certificate or birth certificate.

    4. (If you chose ‘Other’ above)

      Please provide a copy of either a deed poll or a change of name certificate from the Registry of Births, Deaths and Marriages.

    5. Your file has been attached. We will receive it when you submit this form.

  2. Contact details
    1. What is your preferred contact number? *
    2. Residential address
    3. Is your postal address the same as your residential address? *
    4. (If you chose ‘No’ above)
      1. Postal address
  3. Acknowledgement
      • View the privacy statement.
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