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Change your name by deed poll

Document Cited authorities 1 Cited in Related
Vincent
Published date21 March 2018
Subject MatterDeed Poll forms
Deed poll
CHANGE OF NAME DEED intended for enrolling in the
Central Off‌ice of the Senior Courts of England and Wales
LOC020
05.15
Date the deed is made D D /M M /YYYY
Your new name in full
Your address
Your old name
Status Single Married/Civil Partnership
Widowed Divorced/Civil Partnership dissolved
British Citizen British Dependent Territories Citizen
Commonwealth Citizen
Under section of the British Nationality Act 1981
WITNESSES AND IT IS
HEREBY DECLARED
on behalf of myself
I ABSOLUTELY and entirely renounce relinquish and abandon the use of my old name and assume adopt and
determine to take and use from the date of this Deed my new name in substitution for my old name.
I SHALL at all times from this date in all records documents and other writings and in all actions and
proceedings as well as in all dealings and transactions and on all occasions use my new name in
substitution for my old name. I
and my wife and my husband
and my civil partner and my children
and I alone
may after this be called known or distinguished not by the old name but by the new name.
I AUTHORISE and require all persons at all times to designate and address me by my adopted new name.
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