Permanent change of address for private individuals

Former postal address

New postal address

Persons included in the change of address (the person signing the form is to be listed first)

Personal identification number Family name First - /middle names

E-mail and telephone

E-mail Telephone

Redirection of mail: Earliest start date is 6 working days from handing in the form

Fill in start date: (ddmmyy)

Bl. 70.28

2.04

150

.000

01.20

13 Posten Norge AS Foretaksregisteret NO-984

661185

MVA

Date and signature

Date Signature

To be completed by the Post

Notify your change of address on-line (only available in Norwegian)

Advantages: Free sign for your mailbox, easy solutions for informing others of your new address, other special offers from partners.

Application dead lineThe form must be handed in at least 6 working days in advance of start date. Please use CAPITAL LETTERS when filling in the form.

Street name and number (where relevant entrance/flat number) or post office box number.

If relevant: c/o address

Postal code Post office/city

Street name and number (where relevant entrance/flat number) or post office box number.

If relevant: c/o address

Postal code Post office/city

Flgende legitimasjon er forevist og kontrollert:

Type Utsteder Nummer Underskrift kundebehandler Postens enhetsnummer/stempel

Country

The form must be handed in at a post office or in-store post office for verification of identity. Valid identification is passport, Norwegian driving license or European ID-cards that contains date of birth, name, signature and picture.

Tick the required forwarding period (2 months are free) 2 months 4 months 6 months 8 months 10 months 12 months 14 months

PKM-124

-12-A4

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