Request for Non-Publication in The Ontario GazettePlease right
Transcription
Request for Non-Publication in The Ontario GazettePlease right
Office of the Registrar General PO Box 3000 189 Red River Road Thunder Bay ON P7B 5W0 Request for Non-Publication in The Ontario Gazette Section 6, Regulation 68, Change of Name Act, 1990 To be completed and signed by the applicant and included with the Change of Name application form. To the Registrar General: Complete this section if you are submitting a Request to Change an Adult’s Name (subs. 4(1), CNA) I, Full name of applicant , am the person applying for a name change for myself. I hereby request that notice of the change of name not be published in The Ontario Gazette because, at the time of this application, I am a transgendered individual. Complete this section if you are submitting a Request to Change a Child’s Name (subs. 5(1), CNA) I, Full name of applicant name change for , am the person applying for a . Current full name of child I hereby request that notice of the change of name not be published in The Ontario Gazette because, at the time of this application, the person to whose name the application relates, is a transgendered individual. Signature of Applicant Date (yyyy/mm/dd) Personal information on this form is collected under the authority of the Change of Name Act, R.S.O. 1990, c.C.7. It may be used to determine whether a change of name should be published in The Ontario Gazette and for statistical, research and law enforcement purposes as applicable. Questions about this collection should be directed to: The Deputy Registrar General, Office of the Registrar General, PO Box 4600, 189 Red River Road, Thunder Bay ON P7B 6L8. Telephone - Toll-free: 1 800 461-2156; Toronto: 416 325-8305; TTY Toll-free: 1 800 268-7095; TTY Toronto: 416 325-3408. Print Form 11320E (2012/10) © Queen's Printer for Ontario, 2012 Disponible en français Clear Form