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HISTORIC SCHOOLS RESTORATION PROJECT

Towards Centres of Cultural and Educational Excellence


Alumni

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Alumni Application

To make your Alumni Application, please complete the online form below and click the Send button:

YOUR INFORMATION

TITLE (Mr/Mrs/Ms/Dr/Prof):*

FIRST NAME/S:*

SURNAME:*

HIGH SCHOOL:

YEAR MATRICULATED:

TERTIARY QUALIFICATIONS:

CURRENT EMPLOYMENT:

POSITION:

TELEPHONE (business hours):*

FAX NO:

CELLPHONE:

EMAIL:*

POSTAL ADDRESS (please include postal code):

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.
Date: 15 December 2017


Download option


To download the form - click here (format RTF, 91kb) - and e-mail or fax it to us.

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