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PUSAT HUBUNGAN ALUMNI DAN KEMAJUAN INSTITUSI
Alumni Data Update Form CENTRE FOR ALUMNI RELATIONS & INSTITUTIONAL
ADVANCEMENT (CARIA)

BORANG KEMASKINI DATA ALUMNI/ ALUMNI DATA UPDATE FORM

MAKLUMAT PERIBADI / PERSONAL INFORMATION

Nama yang didaftarkan semasa Ijazah Dasar / Pasca Ijazah
Name registered as undergraduate / postgraduate

Gelaran dan anugerah diterima (Cth: Tan Sri, Dato’, Dr.)
Please include title/honorifics
No Kad Pengenalan Lama (Jika ada) No Kad Pengenalan Baru
Old I/C No (if applicable) New I/C No

Alamat Tetap
Permanent Address

Alamat surat menyurat (jika berlainan
dengan atas)
Postal Address (if different from above)
Alamat Email
Email address
Facebook/Twitter/Instagram (Jika ada)
Facebook/Twitter/Instagram (if
applicable)
Nombor telefon (rumah) Telefon bimbit
Telephone number (Home) Mobile number
MAKLUMAT PEKERJAAN /WORK INFORMATION optional
Nama Majikan Jawatan
Employer’s name Designation
Alamat Pejabat
Office Address
No Telefon Pejabat No Fax Pejabat
Office phone number Office fax number
MAKLUMAT PENDIDIKAN / EDUCATION
*Kelayakan yang diterima dari UM Program yang diikuti Tahun tamat pengajian
*Qualification from UM Program Enrolled Year of Graduation
Diploma
Diploma
Sarjana Muda
Bachelor

Sarjana
Master

Doktor Falsafah
PHD
* Sila tandakan yang berkenaan / please tick which applicable
Note
Alumni Database verified via I/C number.
Personal details given are subject to the DATA PROTECTION ACT 2010 and to be accessed only by staff of the Centre for Alumni
Relations & Institutional Advancement (CARIA), UM for alumni activities and official purposes only.

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