ChAngE OF nATiOnALiTY/nAME - Lebanese American University

Change of Nationality/Name
Request to Change:
⎕ Nationality
⎕ Name
Student ID:
PERSONAL INFORMATION
Full Name:
First Name
Middle Name
Family Name
Mobile No.:
LAU Email:
Term:
Campus:
⎕ Beirut
⎕ Byblos
Current Before Change
New After Change
Name:
Name:
First
First
Middle
Middle
Family
Family
Nationality:
Nationality:
*Having made this request, I fully understand that I will not be allowed to submit any other similar request to change to the original one, or to any other one.
The name appearing on LAU records should be exactly identical to the attached identity card or passport.
I bear full responsibility in case my degree from the Lebanese American University is not recognized by the Lebanese Ministry of higher education.
Student's Signature:
Date:
Day
Month
Year
Day
Month
Year
Day
Month
Year
TO BE COMPLETED BY REgiSTRAR’S OFFiCE
⎕ Approved
Signature:
⎕ Rejected
Date:
Processed by
Signature:
Date: