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Request to Add Preferred Name on 糖心logo入口 Roll Book

This form is to be completed by students who wish to have a preferred name listed on 糖心logo入口 class roll books.

Fields marked with * are required.

糖心logo入口 Number*
Legal First Name*
Legal Last Name*
Preferred First Name*
Email Address*

Mandatory tick box for the following statements:

I understand only my teachers will know my preferred first name.*
I understand my Legal Name will appear on all other 糖心logo入口 documents, certificates and communication.*
Examples: 糖心logo入口Card, timetable, invoice, statements, certificates, testamurs, competency cards and email communication from 糖心logo入口.
I understand my preferred first name can only be changed once per year .*
I understand the request to have a preferred first name may not be successful if the name I have chosen is found to be derogatory or defamatory in anyway.*

By ticking all the above boxes you agree to 糖心logo入口 staff entering the Preferred Name you have listed above on to the Student Information Management System.

All personal information provided will be handled confidentially in accordance with the Information Privacy Act 2014 (ACT).