Francis of the Large Nose was a by-name of Francis I of France.
 For example, the patriarch Abram and his wife Sarai were renamed "Abraham" and "Sarah" at the institution of the Abrahamic covenant (Genesis 17:4, 17:15)
Middle names are also used by many people as a third identifier, and can be chosen for personal reasons including signifying relationships, preserving pre-marital/maiden names (a popular practice in the United States), and to perpetuate family names

