Purpose and completion
The parent/guardian declares a requested IC/passport name change for a minor under 21. The form separates the minor’s existing/proposed names from the declarant’s relationship and authority.
Fields and checks
Prepare the following information as applicable to this form.
| Part | Information |
|---|---|
| A | Minor’s IC number; original/amended main and ethnic names |
| B | Parent/guardian name, IC and telephone |
| C | Father/mother/guardian role; sole authority, other consent, court order or death circumstances |
| Execution | Other parent/guardian identities, declarant signature/date |
Declarations and supporting records
Do not assert sole authority if another legal guardian exists. The declaration defines guardianship to include relevant court-appointed/custody and testamentary guardians; supporting authority must match the selected statement. False/incomplete information can lead to prosecution or withdrawal of facilities.
Official ICA source
Written independently from ICA’s English original. The linked source supplies the complete document and subsequent updates.