Brighton & Hove Registration Service

NAME CHANGE APPLICATION (child)

Please complete this form and bring it with you to the Register Office. If you are changing your child’s first name only and they are under one year old, you do not need to complete this form.

Your full name

Please mark your parental status with an ‘x’.

Mother / Father / Parent
Existing full name of child / Child’s date of birth
New name of child
Address
Home phone: / Work phone: / Mobile
Phone:
1. Documents brought to the Register Office

Please mark with an ‘x’ to show which documents you have supplied.

* It is essential you bring the first two items marked with an * with you to the Register Office

I have brought these documents / For Office use only
* Full birth certificate of child
* Proof of your identity (for example, passport or birth certificate)
Divorce documents
Parental Responsibility order or agreement
Decree Nisi
Court Order

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2. Which of the following statements applies to your child? Please mark one option
with an ‘x’.
The child has never used or been know by any other name than that shown on the birth certificate.
The child has only used or been known by the names shown on the documents produced.
3. Which of the following statements applies to your child? Please mark one option
With an ‘x’.
The child is a British national living in the UK
The child is a British national living outside the UK and the country of residence will accept a change of name deed.
The child is a foreign national living in the UK and their country of origin has confirmed it will accept a change of name deed.
4. Please sign and date – all documents submitted MUST be original documents

I understand and acknowledge that:

(i) completion of a Change of Name Deed does not guarantee its recognition and/or acceptance by any person for any purpose; and

(ii)Brighton & Hove City Council shall not accept any liability whatsoever for any consequence, financial, legalor otherwise, arising from any refusal by any person to recognise or accept the Deed in whole or in part.

Signature of parent / Date
Signature of child (only if child is 16 -17 years of age) / Date
Office use only

Signed consent forms received from:

Please mark with an ‘x’ as applicable

Mother / Father / Parent / Court / Child if aged 16 or 17
Date Deed completed / Number of copies required / Fee payable £
Registration Officer’s name
File Ref No: / SURNAME: / YEAR/QUARTER
OF DEED

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