Registration Of IUA



Registration Of IUA 

 


   Alumni of International university of Africa

                           
     (Association of old Graduates)

     Email: alumniiua@gmail.com   Website:iuagraduate.blogspot.com


                                                   Membership Form



 



Title (e.g. Mr/Ms/Dr/Engr/Phr) 




 Name: __________________________ Father’s Name: ____________________ 



Nationality: __________________________ Date of Birth: _______________


Faculty: ____________________________ Department/Institute: ________________ 

 
Title of Degree: _______________________ Year of Graduation: __________________ 

 
Other Qualification:______________________ University: _________________________


Present  Position: ____________________ Phone # (Off) ____________________ 



Organization: _________________________ Phone # (Res): ___________________ 



Cell #: __________________________ 


 
Permanent Address: _____________________ Postal Address: ___________________

 
______________________________________ ________________________________ 

 
Email: _________________________ Face book ID: _____________________


 
Please mention names of two  batch mates:


Name: ________________________
Email:_________________________
Contact # ______________________




Name: _________________________
Email:__________________________
Contact # ________________________
 


 




                   










 

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