Sample of filling out an application for a name change for 2021

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APPLICATION FOR CHANGE OF LAST NAME, FIRST NAME, PATRONICAL NAME To the Civil Registry Office department of the Kirov district administration of Yaroslavl from Ilya Romanovich Chervyakov, residing at the address... APPLICATION I, Ilya Romanovich Chervyakov, ask to change my last name to “Romanovsky” due to the fact that I wish to bear the surname of my grandfather, who actually raised me. I provide the following information about myself: Time of birth: April 5, 1975 Place of birth: Yaroslavl Nationality: Russian Marital status: single Attitude to military service: not liable for military service Place of permanent residence: Yaroslavl, st. ... Place of work, position: RMZ, turner Information about children: I have not been Under trial or investigation I have not changed my last name, first name, patronymic before Full list of places in which I lived: Yaroslavl I am attaching the following documents to the petition: 1) autobiography; 2) birth certificate (of the applicant); 3) death certificate of the father - Chervyakova R.A.; 4) mother’s birth certificate (certifies relationship with grandfather); 5) a certificate from the house management about living together with the grandfather. I present passport series XXI-DA N 555555, issued on October 20, 1991 by the Department of Internal Affairs of the Kirov district of Yaroslavl. Warned of liability for giving false information. January 8, 1993 Signature

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Application for change of surname, name, patronymic

A person can change his first, last or patronymic name from the age of 14.
However, before reaching the age of majority, such a procedure requires the consent of both parents, guardians or adoptive parents. The exception is situations when a minor is recognized as having legal capacity (for example, got married, works or conducts business activities). If a person wants to change his name, he should contact the registry office at the place of his registration with an application to change his last name, first name or patronymic.

For your information! This procedure is regulated by the Federal Law of November 15, 1997 No. 147 “On Acts of Civil Status,” namely its articles 58 to 63.

Good reasons for changing your name, surname or patronymic

  1. A citizen wants to bear a premarital surname if the marriage was dissolved or if the spouse died.
  2. The applicant wants to have a common surname with the children if the spouse died and the surname was premarital.
  3. Last name, first name or patronymic sound dissonant or difficult to pronounce.
  4. A citizen wants to bear the surname or patronymic of the person who took part in the upbringing if the father or mother did not fulfill their duties. Or, on the contrary, he wants to take the surname of his biological parents if he was adopted and bore the surname of the adoptive parent.

This is an incomplete list of reasons on which you can change your name. But in general, everything else comes down to the above.

How to write an application

The document must be submitted in writing to the civil registry office.

Important! There is a unified form - No. 15, the form can be obtained from the registry office.

At the very top, the empty lines must be filled in by a specialist from the institution. There he writes down the date of acceptance of the application, assigns it a number and signs it.

Then comes the header and body. The name of the Civil Registry Office department, full name of the applicant, and contact phone number are indicated in the header at the top right. Next, in the middle, the name of the document is written - an application for a name change.

The main part begins with the formulation of a request to change your name. Then the citizen indicates:

  • what he wants to change (if this is a surname, then you need to enter the desired surname, and in other lines - with the name and patronymic - you need to put a dash);
  • FULL NAME;
  • date of birth;
  • Place of Birth;
  • birth certificate data;
  • citizenship;
  • nationality (to be filled in at the request of the applicant);
  • marital status (you must immediately write down the details of the marriage certificate);
  • information about children who are under 18 years of age (you must write the name, date of birth and details of the birth certificate);
  • grounds for changing the last name, first name or patronymic;
  • place of residence;
  • details of identity documents (usually a passport).

This is followed by a list of appendices to this document. This is a birth certificate, marriage certificates, birth certificates of children, adoption or paternity certificates, passport and/or copies thereof.

The applicant then indicates the date and signs.

Application for name change. Form No. 15

Approved by Decree of the Government of the Russian Federation of October 31, 1998 No. 1274

Form No. 15 (format 210 x 297 (mm)) Application accepted “__”________________ ____ Record of the act of change of name registration No. ________ No. ________________________ ____________________________ dated “__”_____________ ____ (signature of the official who accepted the application) To the Civil Registry Office ____________________ __________________________________ dated ______________________________ (last name, first name, patronymic of the person) __________________________________ (wishing to change the name) __________________________________ (telephone (home, office)) APPLICATION ABOUT CHANGE OF NAME Please change my: last name to ___________________________________________________________ first name to _____________________________________________________ patronymic to __________________________________________________________ I provide the following information about myself. ————————————————————————- ¦1. ¦Last name, first name, ¦ ¦ ¦ ¦patronymic ¦ ¦ +—+————————-+—————————————+ ¦2. ¦Date of birth ¦»__»________ ____ year ¦ +—+————————-+—————————————+ ¦3. ¦Place of birth ¦ ¦ +—+————————-+—————————————+ ¦4. ¦Details of the record of the act of ¦record of the act of birth ¦ ¦ ¦birth ¦No. ________ from “__”_________ _____ ¦ ¦ ¦ ¦_______________________________________¦ ¦ ¦ ¦ (name of the registry office) ¦ +—+————————-+————————————— +¦5. ¦Citizenship ¦ ¦ +—+————————-+—————————————+ ¦6. ¦Nationality ¦ ¦ ¦ ¦ (the column is filled in at the ¦ ¦ ¦ ¦ desire of the applicant) ¦ ¦ +—+————————-+—————————————+ ¦7. ¦Marital status ¦_______________________________________________¦ ¦ ¦(whether or not it is a record of the act of ________________________¦ ¦ ¦marriage, widow(s), ¦No. _________ dated “__”_________ ____ ¦ ¦ ¦divorced) ¦ _________________________________________¦ ¦ ¦ ¦ (name of the Civil Registry Office) ¦ +—+————————-+—————————————+ ¦8. ¦Information about children, not ¦1. ___________________________________¦ ¦ ¦have reached the age of majority¦ (last name, first name, patronymic) ¦ ¦ ¦ (last name, first name, patronymic, ¦"__"__________ ____ year ¦ ¦ ¦date of birth) ¦ (date of birth) ¦ ¦ ¦ ¦record of the act of Birth No. ___________¦ ¦ ¦ ¦from “__”_________ ____ city ¦ ¦ ¦ ¦_______________________________________¦ ¦ ¦ ¦ (name of the registry office) ¦ ¦ ¦ ¦2. ___________________________________¦ ¦ ¦ ¦ (last name, first name, patronymic) ¦ ¦ ¦ ¦3. ___________________________________¦ ¦ ¦ ¦ (last name, first name, patronymic) ¦ +—+————————-+—————————————+ ¦9. ¦Reason for changing the surname,¦ ¦ ¦ ¦name proper, ¦ ¦ ¦ ¦patronymic ¦ ¦ +—+————————-+—————————————+ ¦10.¦ Place of residence ¦ ¦ +—+————————-+—————————————+ ¦11.¦Identification document ¦_______________________________________________¦ ¦ ¦identity ¦ name of the document ¦ ¦ ¦ ¦series _________ No. __________________¦ ¦ ¦ ¦_______________________________________¦ ¦ ¦ ¦ (name of the authority that issued the ¦ ¦ ¦ ¦ document) ¦ ¦ ¦ ¦»__»________ ____ g. ¦ —-+———————-+———— ————————— I am attaching the following documents to the application: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ “__”_______ ____ ___________________________________________ (signature of the person wishing to change his name)

The text of the application is placed on one sheet on both sides in strict accordance with this form.

Source - Decree of the Government of the Russian Federation of October 31, 1998 No. 1274 (with amendments and additions for 2006)

Sample of filling out an application for a name change for 2021

People believe that the name influences fate, health, life expectancy, etc. A person does not choose his own name. Strongly negative associations, gender change, does not fit with the surname, and other reasons are grounds for changing personal data. The Constitution of the Russian Federation grants such a right to every citizen. To implement your plan, you must appear at the registry office with an application.

What might you need it for?

  • The desire to change the surname when concluding a family union.
  • The desire to return one's last name after the breakup of a family union.
  • The desire to take a double surname, first name, or abandon them in favor of standard ones.
  • Unpleasant sound.
  • Sharp antipathy, association with unpleasant events in life.
  • The desire to take the last name, first name, patronymic of a loved one.
  • First name and last name do not correspond to nationality or citizenship.
  • Change of personal data as a result of a change of religion.
  • Required when documents contain an incorrect name.

Additional Information

The procedure for changing a surname involves paying a national tax for the procedure. After changing personal information, you will have to change the full list of documents: driver’s license, passport, insurance policy, work book, military ID, etc. If both parents have changed their surname, the children are randomly given a change of initials. Upon reaching adulthood, in this case, an adult child is required.

After filing an application, the legislation allows one calendar month for its consideration and decision. If experts do not see compelling reasons for changing initials, applicants receive a written refusal with a detailed explanation.

If the decision is in favor of the applicant, he receives a certificate of name change. On its basis, other documents are replaced.

Change of passport

To change your passport, you should contact the Main Department of Migration Affairs of the Ministry of Internal Affairs. You can submit documents to replace your passport when changing your name in person at the department and through the MFC, or through the State Services electronic portal.

The basis for obtaining a new passport is a certificate of change of name issued by the civil registry office.

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To obtain a new passport, you will need to prepare the following list of documents:

  • application for a passport (form 1-P form dated November 30, 2012);
  • valid Russian passport;
  • a copy of the certificate of change of name previously received from the registry office;
  • photographs 4.5x3.5 cm – 2 pcs.;
  • if necessary, documents for notes in the new passport about marriage, children, etc.;
  • document confirming payment of state duty.

Important! The state fee for replacing a passport in this case is 300 rubles.

Preparation of a new passport will last up to 10 days, receipt is possible only by the applicant in person.

According to the law, identification documents are not issued to representatives by proxy.

Sample of filling out an application for a name change

Every citizen of Russia, foreigner or stateless person residing in the territory of the Russian Federation has the right to change their first name, last name or patronymic. It is enshrined in law in the Civil and Family Codes, as well as in Art. 58 of Law No. 143-FZ of November 15, 1997. Changing a name is within the competence of the civil registry office. The basis for changing the full name is an application submitted to the civil registry office at the place of residence or state registration at the place of birth of the person who made such a decision. In this article we will look at a sample of filling out an application for a name change.

Features of the procedure

Any citizen of the Russian Federation, a foreigner or a stateless person temporarily residing in the territory of the Russian Federation has the right to change his name. This right is established by the Federal Law “On Civil Status Acts” No. 143 of November 15, 1997, Chapter VII. The only requirement is to be 14 years old. From 14 to 18 years of age, additional written permission from parents or guardians will be required; after 18 years of age, no restrictions exist.

The following reasons may serve as a reason for changing your first or last name:

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  • difficult pronunciation or unpleasant sound, as well as distortion in translation;
  • desire or unwillingness to match the name of the bearer with his nationality;
  • the desire to change a single surname to a double one or vice versa;
  • the desire to change your last name to the last name of your spouse or add it to your own, if this was not done when registering the marriage acts;
  • returning your surname before marriage, if this was not done during the divorce;
  • desire to take the surname or patronymic of the stepfather or other person who raised the applicant;
  • the desire to change the name when the name indicated on the birth certificate differs from the actual one is also recognized as justified;
  • other reasons that the registry office recognizes as justified.

The following reasons are not considered grounds for changing a surname or first name:

  • the desire to take the surname of relatives in order to receive an inheritance;
  • change of first or last name for astrological reasons;
  • when it is established that the change of surname is made for selfish purposes (evasion of alimony, debts, etc.).

Changing your last name or first name is unacceptable in the following cases:

  • the applicant chose a difficult to pronounce and dissonant surname or first name;
  • the applicant is under criminal investigation or has an outstanding criminal record;
  • a triple surname is formed;
  • the applicant wishes to change the surname shared with the spouse, despite the fact that the spouse refuses to submit a corresponding application to the registry office;
  • desire to rewrite the last name or first name in Latin script according to the rules of a foreign language.

To change the name, it is necessary to draw up an appropriate application, which indicates and justifies the reason that led to such a decision, and the new name. The application must be submitted in person to the relevant authorities:

  • To the civil registry office at your place of residence;
  • To the diplomatic missions or consular offices of the native country, when abroad.

How to fill out an application correctly

The application is written on a standard form, the form of which is approved by Decree of the Government of the Russian Federation of October 31, 1998 N 1274. The form is issued upon personal application to the registry office. You can fill it out in advance by downloading it on the Internet, or fill out an electronic form on the State Services portal.

The application is written on behalf of the person who wishes to change his name, indicating personal data and the reason for the change. This is an extremely important point. The reason must be weighty and justified, otherwise the registry office body making the decision may refuse.

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Typically, applicants refer to the dissonance of the name, difficulty in pronunciation (especially for foreign citizens), the desire to bear the family name of the mother/father or famous relatives, to return the maiden name and other similar reasons.

To confirm the information specified in the application, the following documents are attached to it:

  • passport;
  • birth certificates of the applicant and minor children;
  • certificate of marriage/divorce depending on the marital status or in case of a request to change the surname to the premarital name or the surname of the husband/wife;
  • consent of parents, adoptive parents, trustees to change the name of a minor child, certified by a notary;
  • documents that can serve as justification for the desire to change the name (birth certificates, extracts from church books about the birth of ancestors, documents of foreigners must be translated into Russian and apostilled);

Be sure to supplement this list with a receipt for payment of the state duty, which in 2021 is 1,200 rubles.

The decision is made within 30 days, but this period can be extended to two months if there are valid reasons (for example, failure to receive copies of documents on time to make changes).

If the decision is positive, the applicant receives a certificate of name change, and in case of refusal, a notice indicating the reason. A negative response may be appealed.

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Application to the registry office for a name change

Application to the registry office for a name change. A person who has reached the age of fourteen years has the right to change his name, which includes his surname, first name and (or) patronymic. The change of name is carried out by the civil registry office at the place of residence or at the place of state registration of birth of the person wishing to change the surname, first name and (or) patronymic. A change of name by a person who has not reached the age of majority is carried out with the consent of both parents, adoptive parents or a trustee, and in the absence of such consent, on the basis of a court decision, with the exception of cases where the person acquires full legal capacity before reaching the age of majority in the manner prescribed by law. Changing the name of a person under the age of fourteen, as well as changing the surname assigned to him to the surname of another parent, is carried out on the basis of a decision of the guardianship and trusteeship authority in the manner established by Article 59 of the Family Code of the Russian Federation. A change of name is subject to state registration with the civil registry office.

Name change

List of documents required for state registration of name change:

identification document of the applicant (passport)

application for a name change in the form established by law;

birth certificate of the person wishing to change his name;

marriage certificate if the applicant is married;

a certificate of divorce in the event that the applicant applies for the assignment of a premarital surname in connection with the dissolution of the marriage;

birth certificate of each of the applicant’s children who have not reached the age of majority;

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statements from parents, adoptive parents or a guardian about consent to a name change by a person under the age of majority, and in the absence of such consent, a court decision;

receipt for payment of state duty in the amount of 1600 rubles.

State registration of name change Federal Law of November 15, 1997 N 143-FZ “On Acts of Civil Status”

Article 58. Change of name.

1. A person who has reached the age of fourteen years has the right to change his name, which includes his surname, first name and (or) patronymic. 2. The change of name is carried out by the civil registry office at the place of residence or at the place of state registration of birth of the person wishing to change the surname, first name and (or) patronymic. 3. A change of name by a person who has not reached the age of majority is carried out with the consent of both parents, adoptive parents or a guardian, and in the absence of such consent, on the basis of a court decision, with the exception of cases where the person acquires full legal capacity before reaching the age of majority in the manner prescribed by law. 4. A change of name for a person under the age of fourteen, as well as a change of the surname assigned to him to the surname of another parent, is carried out on the basis of a decision of the guardianship and trusteeship authority in the manner established by Article 59 of the Family Code of the Russian Federation. 5. A change of name is subject to state registration with the civil registry office.

Article 59. Application for a change of name An application for a change of name in writing is submitted to the civil registry office.

Such a statement must include the following information:

surname, first name, patronymic, date and place of birth, citizenship, nationality (indicated at the request of the applicant), place of residence, marital status (married or unmarried, widowed, divorced) of the applicant;

last name, first name, patronymic, date of birth of each of the applicant’s children who have not reached the age of majority;

details of civil registration records previously compiled in relation to the applicant and in relation to each of his children who have not reached the age of majority;

surname, first name and (or) patronymic chosen by the person wishing to change his name;

reasons for changing the surname, first name and (or) patronymic.

A person wishing to change his name signs an application for a name change and indicates the date of its preparation.

The following documents must be submitted simultaneously with the submission of such an application:

birth certificate of the person wishing to change his name;

marriage certificate if the applicant is married;

a certificate of divorce in the event that the applicant applies for the assignment of a premarital surname in connection with the dissolution of the marriage;

birth certificate of each of the applicant’s children who have not reached the age of majority.

Article 60. Procedure for state registration of a name change 1. State registration of a name change is carried out on the basis of an application for a name change. 2. An application for a name change must be considered by the civil registry office within one month from the date of filing the application. If there are valid reasons (failure to receive copies of civil registry records that need to be amended, and others), the period for consideration of an application for a name change may be increased by no more than two months by the head of the civil registry office. 3. Upon receipt of an application for a change of name, the civil registry office requests copies of civil status records that need to be amended in connection with the change of name from the civil registry office at the place of their storage. 4. If civil status records that need to be amended in connection with a name change are lost, state registration of the name change is carried out only after the records are restored in the manner established by this Federal Law for the restoration of civil status records. If there are inconsistencies in information in the documents submitted simultaneously with the application for a change of name and in the received copies of civil status records, such inconsistencies must be eliminated in the manner established by this Federal Law for making corrections and changes in civil status records. If it is necessary to restore or change a civil status record, the period established by paragraph 2 of this article is suspended until the issue of restoration or correction or change of a civil status record is resolved. 5. If a person wishing to change his name is denied state registration of a name change, the head of the civil registry office is obliged to communicate the reason for the refusal in writing. Documents submitted simultaneously with the application for a name change must be returned. 6. The civil registry office is obliged to report the state registration of a name change to the territorial body of the federal executive body authorized to exercise control and supervision functions in the field of migration at the applicant’s place of residence within seven days from the date of state registration of the name change.

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How to correctly fill out an application for a name change

An application for a name change is submitted in writing to the civil registry office. Such an application must indicate the following information: last name, first name, patronymic, date and place of birth, citizenship, nationality (indicated at the request of the applicant), place of residence, marital status (married or unmarried, widowed, divorced) of the applicant; last name, first name, patronymic, date of birth of each of the applicant’s children who have not reached the age of majority; details of civil registration records previously compiled in relation to the applicant and in relation to each of his children who have not reached the age of majority; surname, first name and (or) patronymic chosen by the person wishing to change his name; reasons for changing the surname, first name and (or) patronymic. A person wishing to change his name signs an application for a name change and indicates the date of its preparation. At the same time as submitting such an application, the following documents must be submitted: birth certificate of the person wishing to change his name; marriage certificate if the applicant is married; a certificate of divorce in the event that the applicant applies for the assignment of a premarital surname in connection with the dissolution of the marriage; birth certificate of each of the applicant’s children who have not reached the age of majority.

How to make an application?

The application form for a name change is called Form 15. It is issued by the Civil Registry Department. This is a single standardized form established by law.

When filling out the form, you must provide the following information:

  • to whom the application is addressed, the exact name of the institution and its address;
  • Full name and place of residence of the applicant;
  • new last name, first name and patronymic;
  • additional information about the applicant: date and place of birth, as well as details of the birth record (record number, date and place of drawing up the document);
  • nationality;
  • citizenship;
  • marital status indicating data from the marriage certificate;
  • information about children indicating their full name and information from birth certificates;
  • location;
  • series and number of the identity document;
  • the reason for changing the last name, first name or patronymic. It is important to clearly state and justify the reason, because it determines whether the registry office will approve the application or reject it.

At the end of the document there is a list of attached documents.

Documentation

List of documents attached to the application for name change:

  • applicant's passport;
  • the applicant's birth certificate;
  • marriage or divorce certificate, depending on marital status;
  • birth certificates of the applicant’s minor children;
  • consent of parents or guardians, certified by a notary, if the applicant is a minor;
  • documents that can justify the reason for changing your data (birth certificates of parents, etc.)

Documents of foreigners must be certified and translated into Russian.

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