Online Alumni Registration Form

Section A: Graduate Biographical Information

Name:

IC/Passport Number:

Program/Course Level:

Program/Course Name:

School:

Month/Year of Graduation:

Institution:

Address:

Telephone (Home):

Telephone (Mobile):

Email

Note:
Please enter a valid mailing details.
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Section B: Employment History

Date of First Job Employment:

First Job Title and Specification:

Name of First Employer:

Company Address:

Telephone (Office):

Period of service:

Is the Job Level Appropriate to your qualification level?:

Please state current Employer details below if it is different from your first job

Name of Company:

Position:

Salary Range:

Section C: Higher Education Details

Did you continue to study after graduation?:

Highest Qualification Obtained:

Years Obtained:

Name of Institution:

Country:

Section D: Extra Curricular Activities in Legenda Education Group

Participation in College Activities:

Please indicate what you participated in:

Please indicate if you are willing to participate in relevant activities organized by the college:

For enquiry or submission information, please contact:

The Alumni Co-ordinator
Legenda Education Group
Main Administration Building
Bandar University Teknologi Legenda
Batu 12 Mantin 71700 Negeri Sembilan
alumni@legendagroup.edu.my
FAX : 06-758 7599