Change of name (Transgender and Non-Binary) (CNG)

JurisdictionEngland & Wales
Published date18 September 2017
This form is to update the name of the registered owner in the register of title following a change of gender
and can only be used where you are able to provide the evidence mentioned in panel 2. Where you are
relying on any other form of evidence please see the Change of gender guidance notesfor informat ion
about how to make an application.
Any parts of the form that are not typed should be completed in black ink and in block capitals.
You, the applicant, must be a private individual and one of the registered owners of the property.
Please return this form marked Private
and Confidential
to:
Citizen Team
(F.A.O
. Integrity Manager)
Cwm Tawe
Phoenix Way
Llansamlet
Swansea
SA7 9FQ
Include the full postal address
including the postcode.
Title number details can be obtained
from
GOV.UK.
HM
Land Registry may share, check
and verify the other information you
are providing with:
other government departments
and agencies
law enforcement agencies
other relevant organisations and
bodies
and access information relating to you
from the databases of the
organisati
ons and bodies mentioned
above, for verification purposes
, see
our
Personal Information Charter.
If you provide either a
New Birth
C
ertificate or Gender Recognition
Certificate as part of your application
we will not send a notification of the
change to your address
.
If you provide a letter from a UK
Medical Practitioner we will send a
notice in the name that appears on the
register to guard agai
nst fraud and you
consent to our making contact with the
Medical Practitioner to confirm the
details provided
.
If a Medical Practitioner’s letter is
supplied this will
be retained by HM
Land Registry.
By providing the information requested
in this form y
ou will be indicating your
agreement to
HM Land Registry
processing your information in this
way.
1
Address and title number of the property
Address:
Title number:
2
Evidence of change of gender
One of the following original documents must be lodged with this
form
Gender Recognition Certificate OR
New Birth Certificate OR
UK Medical Practitioner’s letter
Specify the Medical Practitioner’s details below
Name:
Address:
Telephone number:
Email address:
The letter must confirm you have lived in your new gender for the
previous 2 years, or your change of gender is permanent or is
likely to be permanent, and are now known as the name you wish
recorded on the register as specified below.
In cases where a Medical Practitioner’s letter is supplied then by
submitting this application you consent to:
our contacting the named medical practitioner to confirm the
details supplied in this application are correct; and/or
our serving notice of this application on the current name
which you want to remove from the register

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