ALUMNI RECORD FORM
(GSM/AK/20)
 
 


*********************************** PERSONAL INFORMATION ***********************************

Name     
Title     
Matric No.     
I/C or Passport No.     
Race     
       If others, please specify :  
Marital Status     
Gender     
Permanent Address



 
    
Postal Code     
City, State     
Country     
Telephone No.     
Mobile Telephone No.     
E-Mail Address     
Programme Completed     
Majoring     
Status     
Intake
 
     Trimester/Semester:    
      Year: 
Graduation Year     
CGPA     
   

*********************************** EMPLOYMENT INFORMATION ***********************************
 

Currently, are you employed?
 
    
 
How long were you get employed
after graduation?
 
      
 
Company Name and Address



 
    
Company Telephone No.     
Company Fax No.     
Company E-Mail Address     
Type of Company     
       If others, please specify 
Designation     
Current salary scale     
Percentage of increment in salary after completion of the
postgraduate degree
    


***********************************
OTHERS ***********************************
 

Where do you see yourself, 5 years from now?     
Do you plan to further your studies to PhD level in future?
(if applicable)
    
 
(i) Local or Abroad?       
(ii) Name of University