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SEKRETARIAT MUDA ALUMNI
PUSAT KAUNSELING,KERJAYA & ALUMNI
UNIVERSITI UTARA MALAYSIA





STUDENT REGISTRATION FORM

Name :

Matric :

I/C No :

Date of Birth :

Race : Malay Chinese Indian Other

Gender : Female Male

Age :

Status :

Semester :

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

Bil Club/Project Title
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Give your opinion how to improve your club: