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ONLINE REGISTRATION

please fill in every box with your details
Name

Home Address

Correspondence
Adress

Contact Number Malaysia
Oversea
Email Address
KMYS ID
Date of birth
 / /
Gender
Course Details
University
Course
Sponsor

Declaration
I conform that the information given on this form is true, complete and accurate.

Please key in your IC number in the boxes below.
Thanks and Welcome to the Alumni
Date / /