HISTORIC SCHOOLS RESTORATION PROJECT
Towards Centres of Cultural and Educational Excellence

ALUMNI DATABASE

Please complete this form and fax it to 0021 (0)21 713-2093

TITLE		
SURNAME		
FIRST NAME/S		
HIGH SCHOOL		
	
YEAR MATRICULATED		
	
TERTIARY QUALIFICATIONS		

	
	
CURRENT EMPLOYMENT		
	
POSITION		
E-MAIL		
MOBILE PHONE		
WORK PHONE		
FAX		
POSTAL ADDRESS		

PROVINCE		
GENDER		
HOME LANGUAGE		
OTHER LANGUAGE/S		
	
ARE YOU ABLE TO ASSIST THE PROJECT IN ANY WAY? IF SO, HOW?	

	

	

	

	

Please note the above information will be treated as confidential and use for the purposes of documentation and communicating with the Alumni.