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CHANGE OF PERSONAL DATA
| Employee Name: | Employee Number: |
| Department: | SIN Number: |
| Effective date of change: |
Please change my personal records as indicated below:
Name change:____________________________________________________________________
New address:____________________________________________________________________
____________________________________________________________________
New Phone Number: ______________________________________________________________
Person(s) to contact when emergency __________________________________________________
and their Phone Number____________________________________________________________
Other Changes___________________________________________________________________
_______________________________________________________________________________
Date submitted: __________________________________________________________________
Employee Signature
______________________________
Name in Print ___________________