FRIENDS & ALUMNI ASSOCIATION OF LCWU (FAA) - Registration Form

Section I
FRIENDS OF LCWU

Name:_________________________________Gender (M/F): ________________                              
Profession: _____________________________________________________________
Institution/Organization: ___________________________________________________
Designation:____________________________________________________________
 E-mail:________________________________________________________________
Contact No. Home:_______________ Office:_____________ Mob: ________________
Postal Address: _________________________________________________________
______________________________________________________________________

Section II
ALUMNI OF LCWU 
                
Name: _________________________________   Year of Graduation: ___________
Profession: _________________________ Designation: ________________________
Institution/Organization:___________________________________________________
Contact No. Home: ______________Office:______________ Mob: ________________
E-mail:________________________________________________________________