Notification of change of details

Please ensure you complete the mandatory information marked with (*)

Current registration details

TRB registration no:
* Family name:
* Given name:
* Email:

Change of postal address

New street / PO Box:
Suburb:
State:
Country:
Postcode:

Change to contact details

New phone number:	(Before hour)
	(After hour)
New Mobile number:
New email:

Change of Name

Note: Change of name requires hard copy certified evidence
to be provided to the TRB office.

New family name:
New given name:
Date of change:	(dd/mm/yyyy)

Forward certified photocopies of documentary evidence of name
change to the TRB office, e.g. marriage certificate, decree nisi,
deed poll or statutory declaration of the name change.

School Appointment in the NT

School / Institution:

Alternatively, you may submit the Notification of change of details form (word 42Kb) in hard copy to the TRB Office.