A-211 Request for Correction of Student Legal Name or Birthdate Form Download Form PDF Correction of Student Legal Name or Birthdate The information collected on this form will be used to correct legal name(s), date of birth or gender in the electronic student record system. This document can be requested by school/parents/guardians/students to satisfy the Correction of Records as per Section 81(1) of the Education Act. This information may not be used for any other purposes than as stated above. Instructions In order to submit the request, the school/parent/guardian/student has to provide proof for a change in legal name or date of birth in the form of a Birth Certificate or other official documentation. The documentation has to be verified by a school authority. The information collected on this form will be used to correct legal name(s), date of birth or gender in the electronic student record system. This document can be requested by school/parents/guardians/students to satisfy the Correction of Records as per Section 81(1) of the Education Act. This information may not be used for any other purposes than as stated above. Instructions In order to submit the request, the school/parent/guardian/student has to provide proof for a change in legal name or date of birth in the form of a Birth Certificate or other official documentation. The documentation has to be verified by a school authority. Fax the filled form to the Student Records Registrar 867-473-2695 Part A: Student Information Corrections Information Currently in File GN Student ID Legal Surname Legal First Name Legal Middle Name(s) Date of Birth Gender Female Male Corrected Information - Fill if Applicable Corrected Legal Surname Corrected Legal First Name Corrected Legal Middle Name(s) Corrected Date of Birth Corrected Gender Female Male Corrections identified above were verified by using: Corrections identified above were verified by using: Canadian Birth Certificate Canadian Citizenship ertificate Canadian Adoption Certificate Canadian Marriage Certificate Passport Visa Permanent Landed Immigrant/Residence Document Health Care Card Other, specify: Steps Current Request for Correction of Student Legal Name or Birthdate Form Part B: School Information Part C: Signature Block Preview Complete Is this page useful? yes no Provide comments Email address Provide a comment Thank you for contacting the Government of Nunavut. Please do not send sensitive or personal information, including (but not limited to): social insurance numbers, birthdates, information of other people, or health information. Please only send a brief description of your issue or concern and how we can contact you. We will make sure the correct person contacts you if they need more information or if they can answer your question or concern.