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Name Change Affidavit

Name Change Affidavit

October 26, 2022

Submit this notarized document to request a change to your name.

name-change-affidavit.pdf132.94 KB

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Student Service Center (Morningside)210 Kent Hall, Mail Code 9202, 1140 Amsterdam Ave. · New York, NY 10027

ID Center (Morningside)210 Kent Hall · New York, NY 10027

CUIMC Registration and Enrollment Services Office154 Haven Avenue, Room 406 · New York, NY 10032

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