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Direct. gov.uk want a letter in Welsh confirming your NINO please phone 0845 302 1489 and ask for form CA5403W. What to do next If after considering all of the information above you still want to Declaration on page 2. Please use capital letters and write clearly in black ink. Indicates required field. CA5403 Please turn over PAGE 1 HMRC 10/13 Your details Title for example Mrs Miss Ms Mr Dr Rev Current home address Surname Postcode First names Contact/Mobile phone number Previous surname if applicable National Insurance number if known Previous first names if applicable Are you completing this form to tell us about a change to your name Gender Please tick the appropriate box No Male Yes Female Date of birth DD MM YYYY Please give details below Please tell us why you have changed your name married civil partnership deed poll or other reason Date of name change DD MM YYYY Your address details Please tell us your last two previous addresses if applicable Address 1 From To PAGE 2 Marriage or civil partnership details Are you married or in a civil partnership Have you ever been married or in a civil partnership in the past Married Civil partnership Date of marriage or civil partnership DD MM YYYY Date of divorce or dissolution of civil partnership DD MM YYYY Reason why marriage or civil partnership ended divorce dissolved widowed or other reason Please sign and date the declaration below. Please use capital letters and write clearly in black ink. Indicates required field. CA5403 Please turn over PAGE 1 HMRC 10/13 Your details Title for example Mrs Miss Ms Mr Dr Rev Current home address Surname Postcode First names Contact/Mobile phone number Previous surname if applicable National Insurance number if known Previous first names if applicable Are you completing this form to tell us about a change to your name Gender Please tick the appropriate box No Male Yes Female Date of birth DD MM YYYY Please give details below Please tell us why you have changed your name married civil partnership deed poll or other reason Date of name change DD MM YYYY Your address details Please tell us your last two previous addresses if applicable Address 1 From To PAGE 2 Marriage or civil partnership details Are you married or in a civil partnership Have you ever been married or in a civil partnership in the past Married Civil partnership Date of marriage or civil partnership DD MM YYYY Date of divorce or dissolution of civil partnership DD MM YYYY Reason why marriage or civil partnership ended divorce dissolved widowed or other reason Please sign and date the declaration below. What you need to do now Check that you have I declare that the information I have given on this form is correct and complete. Your National Insurance number About this form When to complete this form Use this form to request written confirmation of your National Insurance number NINO and/or tell us about a change to your personal details. Where to find your NINO If you do not know your NINO you might be able to find it on official paperwork such as your form P60 End of Year Certificate given to you by your employer a payslip a copy of your annual Self Assessment tax return other official correspondence from HM Revenue Customs HMRC. Written confirmation of your NINO If you need written confirmation of your NINO you don t have to fill in this form to get this information from us. You can if you want phone our National Insurance Registrations Helpline on 0845 915 7006 and they will arrange to send confirmation to you. When not to complete this form Do not complete this form if you have never had a NINO before and are under age 20. Phone the National Insurance Registrations Helpline on 0845 915 7006 for advice Jobcentre Plus on 0845 600 0643 for advice or go to www. direct. gov.uk want a letter in Welsh confirming your NINO please phone 0845 302 1489 and ask for form CA5403W. What to do next If after considering all of the information above you still want to Declaration on page 2. If you live outside the UK phone 44 191 203 7010. Please note a letter confirming your NINO cannot on its own be used to prove your identity. When not to complete this form Do not complete this form if you have never had a NINO before and are under age 20. Phone the National Insurance Registrations Helpline on 0845 915 7006 for advice Jobcentre Plus on 0845 600 0643 for advice or go to www. You can if you want phone our National Insurance Registrations Helpline on 0845 915 7006 and they will arrange to send confirmation to you. If you live outside the UK phone 44 191 203 7010. Please note a letter confirming your NINO cannot on its own be used to prove your identity. When not to complete this form Do not complete this form if you have never had a NINO before and are under age 20. Written confirmation of your NINO If you need written confirmation of your NINO you don t have to fill in this form to get this information from us. You can if you want phone our National Insurance Registrations Helpline on 0845 915 7006 and they will arrange to send confirmation to you. If you live outside the UK phone 44 191 203 7010. Please note a letter confirming your NINO cannot on its own be used to prove your identity.

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