Change of Personal Information Form

For faster processing, NLU ID is required, however, if you do not have your NLU ID # please enter the last four digits of your social security number.

Please enter your NLU ID or the last 4 digits of your Social Security Number or your Date of Birth:

NLU ID:

Last 4 digits of your Social Security Number: *

Date of Birth:

Current Name: *

New Name: *

Check here if you need to update the name on your NLU doctoral dissertation.

New Address: *

New City: *

New State: *

New Zip: *

New Phone:

New Email:

New Residency/Citizenship Status: *

Please upload at least one document as proof of name change or address change: *

A copy of the following documents will be accepted as proof of name change or address change:

Birth Certificate
Driver's License
Divorce Decree (including page authorizing name change)
Judicial Decree (specifically authorizing name change)
Naturalization Documents

Please upload documentation as proof of citizenship/residency status: *

The following documents will be accepted:

U.S. Birth Certificate
Certificate of Naturalization
Certificate of Citizenship
Current I-20
Student Visa
EAD Card
Permanent Resident Card
Passport

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Change of Personal Information Form

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