Student Personal Information Update Form

Student Personal Information Update Form
Section A: Student Information
Use this form to request an update to your legal name, preferred first name, gender identification, or emergency contact information.

The following cannot be updated using this form: address, phone number, email address, or Social Insurance Number (SIN). These can be updated through your student portal account. If you require assistance accessing your account, submit a Student Account Support Request.
Student Name*

First NameLast Name
Student Number*
Date of birth*

MonthDayYear
Date
Email*
example@example.com
Section B: Information Change

Complete the applicable section
The name provided here must match your legal name as it appears on your supporting documentation. Use upper and lower-case letters and clearly indicate all diacritical marks such as accents, umlauts, and special characters. If your government issued personal identification does not match the legal name on your student record, it is your responsibility to prove that you are the individual who belongs to this new name.
Legal Name Change or Correction
New Legal Name

First NameMiddle NameLast Name
Legal Name Change or Correction

Name ChangeName Correction
Indicate which supporting documentation you will be submitting
Name Change

Government issues Change of Name CertificateGovernment issued Certificate of Marriage, and Birth Certificate, and government issued ID (e.g. driver's license) showing your current full name.Government issued divorce decree, and Birth Certificate, and government issued ID (e.g. driver's license) showing your current full name.
Name Correction

Birth certificateCitizenship PaperGovernment issues study permit and passportGovernment issues Change of Name CertificateImmigration DocumentationPermanent Resident Card
File Upload

Cancelof
Preferred First Name
Your legal name will remain as your official name on your student record.
Preferred First Name
Gender Identification
FemaleMaleDecline to answerAnother Gender Identity (may include Aboriginal Two-Spirit, Transgender and others)
Emergency Contact
Contact Name

First NameLast Name
Contact Number
Please enter a valid phone number.
I understand my request will not be processed if the information submitted is illegible or incomplete, or missing supporting documentation.
Signature
The Manitoba Institute of Trades and Technology (“MITT”) collects and protects personal information under the authority of the Freedom of Information and Protection of Privacy Act (the “Act”) for the purpose of operating the programs and services at MITT. The personal information you provide will be used for the purpose of updating your personal records. Your information will not be disclosed for other purposes, unless permitted by the Act. If you have any questions about the collection of your personal information, contact privacy@mitt.ca (2023-06-08
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Student Personal Information Update Form

Section A: Student Information

Section B: Information Change

Legal Name Change or Correction

Preferred First Name

Gender Identification

Emergency Contact