
Teachers Registration Board of Tasmania

Are your personal details

up-to-date?

Change of Details

TRB Number:
Title:
Family name:
Given names:	*Note: Any name changes require a certified copy of an official document e.g. Marriage Certificate, to be submitted to TRB before the name can be changed on our register.**
Residential address
Street:
Suburb/Town:
State/Territory:		Post Code:
Country:
Postal address
Street:
Suburb/Town:
State/Territory:		Post Code:
Country:
Home phone number:
Mobile phone number:
Contact phone number (daytime):
Email:
New qualification:*
Date awarded:

Note: *New qualifications listed must be supported by a certified copy of the academic transcript. Please remember to mail the certified copy to TRB, GPO Box 539, Hobart TAS 7001.

Previous information

Title:
Family name:
Given names:
Residential address
Street:
Suburb/Town:
State/Territory:
Post Code:

Note: Name change must be supported by a certified copy of marriage certificate or other official evidence. Please remember to mail the certified copy to TRB, GPO Box 539, Hobart TAS 7001.

I declare that all information I have given on this form is true and complete.

This page has been produced by the Teachers Registration Board of Tasmania.
Its content has been authorised by Kerrie Moss, C.E.O., Teachers Registration Board of Tasmania. Last modified on Thursday October 15, 2009
The URL for this page is http://www.trb.tas.gov.au/changedetails.htm.
Questions concerning its content may be directed by e-mail to TRB.admin@trb.tas.gov.au.
You are directed to the disclaimer and copyright notice and a Personal Information Protection Statement governing the information provided.

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