University of Wales Cardiff

University of Wales Cardiff

<p>Please complete the relevant sections below with your new details and return to Student Records and Services, Continuing and Professional Education, Senghennydd Road, Cardiff, CF24 4AG or email [email protected]</p><p>Student Name (in full):</p><p>Change of name: If you are changing your name please attach documentary evidence</p><p>Previous title: New title: Previous forenames: New forenames: Previous surname: New surname:</p><p>Change of address</p><p>Previous home address New home address Address 1: Address 1: Address 2: Address 2: Address 3: Address 3: Address 4: Address 4: Address 5: Address 5: Postcode: Postcode:</p><p>Change of contact details</p><p>Previous daytime telephone: New daytime telephone: Previous evening telephone: New evening telephone: Previous mobile telephone: New mobile telephone: Previous e-mail address: New e-mail address:</p><p>The information you provide on this form will be held by Cardiff University, as the Data Controller, and will be treated in accordance with the Data Protection Act 1998.</p><p>Office use only</p><p>Student Number: SIMS: Effective date of change: Access (if applicable):</p>

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