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Application for NIE Alumni Association to the former Internal Staff

 

Title    
Initials    
Surname    
FullName    
  Professional Information   Personal Information
Designation on Retirement/ Resignation Sex
Faculty/Department/Unit on
Retirement/ Resignation
Date of Birth
Highest Qualification Email Address
    Private Address
User Name  
(Only 15 characters and more then 5 characters)
Address cont.
Password  
(Only 15 characters and more then 5 characters)
Address cont.
    Res. Tele. No.
    Mobile Tele. No.
   






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