Nama : Dato/Datuk/Datin/Encik/Puan _________________________________________________
Alamat Rumah : ___________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Alamat Pejabat : __________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Nombor Telefon Bimbit : ___________________________________________________________ Alamat EMel : ___________________________________________________________________ Diploma / Bacelor / : _______________________________________________________________ Sarjana / PhD Pusat Pembelajaran : ______________________________________________________________ Jawatan Semasa Semester Pertama : _________________________________________________ Jawatan Apabila Tamat Pengajian : __________________________________________________ Tarikh Majlis Konvokesyen : ________________________________________________________
Sila serahkan borang ke Kaunter Alumni semasa sesi pengambilan jubah.
Sekiranya mempunyai akaun Facebook, sila layari laman web facebook Alumni OUM di www.facebook.com/AlumniOUM dan klik Like. Terima kasih di atas kerjasama yang diberikan.