Please complete this form if you are: changing the name of your school or centre merging with another school(s) or centre(s) 1. Who are you and where are you from? Your name * Telephone number * Email * Name of UCAS registered centre * UCAS registered centre code (your unique five-digit number) * You will find it in Apply for advisers, set up, centre details – in 'further details'. Are you the UCAS correspondent? * Yes No New UCAS correspondent's name UCAS correspondent's email 2. Complete only if you are changing the name of your school or centre New name of school or centre Select the date you want us to make the change(s) Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year202420252026 3. Complete if you are merging with another school(s) or centre(s)List the school(s) or centre(s) that are merging with you. If you have completed section 2, we will use this as your new name for merged centres. 1. School or centre details School or centre name UCAS registered centre code UCAS registered centre code (its unique five-digit number) Do you want to add another school/centre? Yes No 2. School or centre details School or centre name UCAS registered centre code UCAS registered centre code (its unique five-digit number) Do you want to add another school/centre? Yes No 3. School or centre details School or centre name UCAS registered centre code UCAS registered centre code (its unique five-digit number) Do you want to add another school/centre? Yes No 4. School or centre details School or centre name UCAS registered centre code UCAS registered centre code (its unique five-digit number) Select the date you want us to merge your centre Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year202420252026 4. Please tick all that apply My centre is changing to academy status I would like all staff details from each school(s)/centre(s) to transfer over to the main school/centre identified in section 1 I would like all applicants’ details from each school(s)/centre(s) to transfer over to the main school/centre identified in section 1 I would like the new centre to have access to Adviser Track I would like to confirm the new name of the centre is identified in section 2 Additional information Submit details Disclaimer * I understand that by ticking this box, I confirm the requested changes above are accurate and have been agreed by the UCAS correspondent. Email address for us to send confirmation that we have received your new details and activated your request * Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
