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UCDAA-SL Member Registration

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Personal Details
Title (Mr., Ms., etc.) *  
Full Name *  
Preferred Name * (for Card)  
Other Names  
N.I.C No *  
Date of Birth   (YYYY-MM-DD)
Residence Address *  
Secondary Address  

Contact Details
Phone Number  
Mobile Number  
Fax Number  
Primary Email Address *  
Secondary Email Address    

Alumni Details
Degree Title *    
Batch  *    
UCD Student No   
Year of Enrollment  *  
Year of Graduation   

Employment Details
Company Name  
Position   
Office Phone Number   
Office Mobile Number   
Office Fax Number   
Office Address   

Newsletter Subscriptions Subscribe
Alumni News  
Send me emails about alumni news updates.
Alumni Job Bank  
Send me emails about vacancies at UCDAA-SL Job Bank.

Payment Details
Payment Reason*  
Payment Method*  
Receipt No*  
Coordinator Name  
Date of Transaction*   (i.e. 2010-01-21)
Time of Transaction   (i.e. 12:55)
Amount*  

Confirmation
Security Check*  
 

Please Enter the Displayed word in the text box.
 
Note:
  • Payment shall be notified to either party through e-mail or phone.
  • Your application will be discarded if the payment is not made within 30 days.
  • Return Back to the application to Submit Payments via Email Link.
  • User account will be activated when your payments have been confirmed by the accountant.
     

 
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