SEKRETARIAT MUDA ALUMNI PUSAT KAUNSELING,KERJAYA & ALUMNI UNIVERSITI UTARA MALAYSIA
STUDENT REGISTRATION FORM
Matric :
I/C No :
Date of Birth :
Race : Malay Chinese Indian Other
Gender : Female Male
Age : 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
Status : Single Married
Semester : 1 2 3 4 5 6 7 8
CGPA :
Program :
College :
Address :
City : State :
Telephone No(H/P) :
Telephone No(Home) :
E-mail :
Computer Skills :
Microsoft Office Adobe Photoshop Macromedia Dreamweaver MX Visual Basic Others
Club or Project Which Have Been Joined And Title That Had Been Taken In School/IPT
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