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Membership No.

______
International Islamic University, Islamabad
Office of the Director (Academics) Sector H-10, New Campus, Islamabad
www.iiu.edu.pk, Fax: 051-9257923

Alumni Registration Form Photo


Name: (in block Letters) _______________________________________________________
Date of Birth: ________________ Father’s Name:
________________________________________
Class: _________Dept: __________________________ Registration No:
______________________
Year of Admission: _________________________ Year of Convocation:
_______________________
Mobile: ________________ Email (1): _________________ Email (1):
_________________________
Permanent Address:
_________________________________________________________________
__________________________________________________________________________________
Phone (Home): _____________________________ Mobile:
_________________________________
Postal
Address:_____________________________________________________________________
__________________________________________________________________________________
Current Position/Designation (Posting with Office Address & telephone

Number): ----------------------

------------------------------------------------------------------------------------------------------------------

----------------------

In case of change in above addresses, kindly provide names and addresses of


two persons, preferably
relatives who can update your address.
1) _______________________________________________________________________________
________________________________________________________________________________
2) ______________________________________________________________________________
________________________________________________________________________________

Your Hobbies(1) ___________________(2) ___________________


(3)_______________________
Membership No. ______
International Islamic University, Islamabad
Office of the Director (Academics) Sector H-10, New Campus, Islamabad
www.iiu.edu.pk, Fax: 051-9257923

Will you like to participate in IIUI alumnae activities: Yes  No 


In your opinion what activities do you propose to IIUI Alumnae?:
____________________________
________________________________________________________________________________
3) What contribution you would like to make towards growth and expansion of
IIUI: ______________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

Signature: ______________________
Date: ___________________

Contact Person: Ch. Muhammad Nazir, Assistant Admin Officer


(Cell: 0300-5153893) E-mail: ahbnaz@yahoo.com