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Name or ID Change Form

VU Student Information Form
Name or ID Change

Please print and sign this form, then mail or fax it to the Office of the Registrar. Be sure to include photocopies of appropriate proof of identification.

 Office of the Registrar
Tolentine 202
Villanova University
800 Lancaster Avenue
Villanova, PA 19085
Tel:  610-519 - 4032
Fax: 610-519 - 4033
Previous Name (First, Middle, Last):
New Name (First, Middle, Last):
Reason for name change: Certified Court Order
Marriage (date = )
Divorce decree (date = )

 

 
Previous Social Security Number:
New Social Security Number:

 

 
Proof Provided:

Driver's License
Birth Certificate
Passport

Social Security Card (required for SSN change)
Certified Court Order


I hereby verify that the information on that I have provided is true and correct.

Signature:_______________________________________________ Date:____________________