RHODE ISLAND DEPARTMENT OF ELDERLY AFFAIRS...OUR MISSION The Department of Elderly Affairs (DEA) was established in 1977 (under RIGL 42-66-1) in re-
History • Cambodia was formally known as Kampuchea. • Cambodia shares its boarders with Thailand, Laos, and Vietnam. • Cambodian or Khmer is the
rhode island department of revenue division of motor vehicles registration renewal renewal application must be mailed or renewed online at www.dmv.ri.gov
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The Rhode Island Physical Education Framework Supporting Physically Active Lifestyles through Quality Physical Education March 2003 A Project of
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form cc-1411 (master, page one of two) 11/15 . application for change of name (adult) commonwealth of virginia va. code § 8.01-217 . virginia: in the circuit court
court of the state of new york county of in the matter of the application of for leave to change petition for name change petitioner, index # name to:
INFORMATION SECTION: Enter the requested entity information on the top of the form, including name, address, federal identification number, email
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FOR OFFICE USE ONLY PERMIT #_____ BUSINESS APPLICATION and REGISTRATION if YES AND Include Complete Additional Yes No Fee: Sections: Information
CONSUMER SERVICES GROUP APPLICATION FORM FOR (Please refer instructions overleaf to help us serve you better) FOR REGISTERING YOUR REQUEST/TO KNOW STATUS OF YOUR
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AOC-295 Doc. Code: PNC Rev. 10-08 Page 1 of 1 Commonwealth of Kentucky Court of Justice www.courts.ky.gov KRS Chapter 401 PETITION FOR NAME CHANGE
Small Island Developing States (SIDS) and Climate Change Peer-reviewed papers. If you cannot access any of the documents below, then please contact me
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The Island of Doctor Moreau. to the thing we had all been thinking. I remember our voic-es were dry and thin, so that we bent towards one another
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“www.rajpostexam.com”should read notification, instructions and vacancy position carefully before applying online. (ii) After then,
Republic of Fiji Second National Communication to the United Nations Framework Convention on Climate Change The Global Environment Facility (GEF),
Date filed: _____________________
PC-8.1 (11/02, formerly SW-19) Change of Name
Court use only
STATE OF RHODE ISLAND County of ___________________________________ Estate of ____________________________________ Alias _______________________________________ Alias _______________________________________
PROBATE COURT OF THE _________________________________________________ No. ____________________
____________________ Date
CHANGE OF NAME The undersigned petitioner requests the following name change:
[
] self
[
] for minor child
__________________________________________________________________________ Current Name
Name on Original Birth Record: _____________________________________________________ Date of Birth: __________________________
Place of Birth: __________________________
Mother’s Maiden Name: ____________________ Father’s Name: ____________________ Petitioner’s Occupation: ____________________________________________________________ Petitioner’s Marital Status (optional): ____________________________________________________ The petitioner resided at the following addresses: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Reason for name change (be specific): _________________________________________________ Petitioner requests a name change to: __________________________________________________ If applicable, the name on the birth record should be changed to: ________________________________________________________________________________ (continued on page 2)
PC-8.1 (11/02, formerly SW-19)
If minor:
_______________________________________________ _______________________________________________ Father Signature
Mother Signature
Attach form PC—9.1, Waiver, if applicable. The undersigned petitioner makes affidavit and says that the above facts are true as to the best of his/her knowledge and belief.
__________________________________________
__________________________________________
Signature of petitioner
Date
_____________________________________________________ Relationship of petitioner
_____________________________________________ Sc.
Subscribed and sworn to before me as to the truth of all of the above facts by the petitioner.
__________________________________________
__________________________________________
Notary public (please print name)
Notary public signature
DECREE Upon hearing, it is hereby ordered and decreed:
_______________________________________________ _______________________________________________ Date
Probate Judge
Attach certified copy of the original birth certificate and BCI Report.