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ALUMNI UNIT
// borang data alumni Universiti Malaya
STUDENTS AFFAIRS & ALUMNI

BORANG MAKLUMAT PERIBADI / PERSONAL DETAILS 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 No Kad Pengenalan Baru
Old I/C No 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 (Jika ada)
Facebook (if applicable)
Nombor telefon (rumah) Telefon bimbit
Telephone number (Home) Mobile number
MAKLUMAT PEKERJAAN /WORK INFORMATION
optional
Nama Syarikat Jawatan
Company name Post
Alamat Syarikat
Company Address
No Telefon Pejabat No Fax Pejabat
Office phone number Office fax number
MAKLUMAT PENDIDIKAN / EDUCATION
Program yang diikuti Tahun tamat pengajian
*Kelayakan yang diterima dari UM
Program Enrolled Year of Graduation
Diploma
Diploma
Sarjana Muda
Bachelor
Sarjana
Master

Doktor Falsafah
PHD
MAKLUMAT KOLEJ PENGINAPAN / COLLEGE

*Kolej penginapan sepanjang pengajian

* Sila tandakan yang berkenaan / please tick which applicable
Note
Note
Alumni Database verifed via I/C number.
Alumni Database verified via I/C number.
Data in the database are private and confdental, to be accessed only by staf of the Alumni Unit, Student Afairs & Alumni
Data in the database are private and confidential, to be accessed only by staff of the Alumni Unit, StudentAffairs & Alumni
UM for ofcial purposes
UM for official purposes.
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