Change of Name, Address, or ID Form - Hunter College of the City University of New York

Hunter College of the City University of New York – Office of the Registrar
OASIS, Roo m 217 North, 695 Park Avenue, NY 10065
CHANGE OF NAME, ADDRESS, OR ID# (SOCIAL SECURITY#)
Please note the following:
ALL NAME CHANGES MUST BE accompanied by supporting documentation
(i.e., Marriage License, Court Order, Divorce Decree, Birth Certificate, Immigration
Papers).
A change of ID# requires a signed
Social Security Card.
If you have been declared a New York State Resident and you change your address to
an out of state address, you will be charged the Non-Resident tuition rate for the next
semester.
YOU MUST SIGN THIS FORM AN D CONFIRM IF YOU ARE R ECEIVIN G
FINANCIAL AID.
Please note all documents submitted become the legal property of the college and may
not be surrendered back and or copied.
Information as it appears on
PRESENT Hunter
records
CHANGE TO: (fill in appropriate information)
___ ___ ___ -___ ___-___ ___ ___ ___
ID# (Social Security#)
___ ___ ___ -___ ___-___ ___ ___ ___
ID# (Social Security#)
___________________________________
Last Name
____________________________________
Last Name
_____________________________ ____
First Name Initial
________________________________ ____
First Name Initial
_____________________________________
Number and Street Address
_______________________________________
Number and Street Addr ess
_________________________
City
__________________________
City
_______ _____________ _______
State Zip Code
_______ __________ _____________
State Zip Code
___________________________
County
______________________________
County
(_____)_______________________
Telephone with Area Code
(______)________________________
Telephone with Area Code
Do you receive any type of Financial Aid? _____Yes _____No
Date of Birth ___________________
Student Signature _____________________________ Date____________
* This form will not be processed without the student’s signature
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Change of Name, Address, or ID Form - Hunter College of the City University of New York PDF

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