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:
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