OFFICE OF THE REGISTRAR
9980 Carroll Canyon Road, San Diego, CA 92131
(858) 642-8260 • Fax (858) 642-8718 • www.nu.edu
NAME CHANGE REQUEST
Student I.D. Number:
Change Name From:
Last
Change Name To:
First
Middle
Last
Reason:
First
Middle
Student’s Signature:
Date:
IMPORTANT NOTE: Please attach photocopy of your social security card or court order
showing your name change. Your request will not be processed until we receive one of the
required documents.
Send To:
Office of the Registrar
9980 Carroll Canyon Road
San Diego, CA 92131
-ORFax to: (858) 642-8718