AUT - Alumni Registration Form


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Update or Register your details with AUT University’s Office of Alumni Relations.

Maintain your links with the Alumni Network

We would like to keep in touch with you – please register or update your details below to receive publications and invitations for alumni and friends.

Please note that all details we collect will be used for University communication only – we will never sell or share your details with any third parties. If you have any questions or concerns, please contact us.

Details marked with asteriks ( * ) are required.

Your Details

	Title
	*Family Name
	*1st Given Name
	Preferred Name
	Family Name at graduation (if different now)
	Date Of Birth (dd/mm/yyyy)
	AUT Student ID No.
	Gender
	Ethnicity



Contact Details
	HomePhone
	WorkPhone
	HomeFax
	WorkFax
	Mobile
	*Email



Mailing Address
	Postal Address
	Suburb
	Town
	City
	Country
	PostCode



Programme(s) Studied

	I am studying or have studied within the Faculty of
	Programme Name
	Year Started
	Year Ended
	I studied at

	I have also studied within the Faculty of
	Programme Name
	Year Started
	Year Ended
	I studied at



Current Employment Information

	Organisation
	Additional Information
	Position



Check the boxes next to the type of mail you would like to receive
	AUT Short Courses
	Prospectus - annual publication for full/part-time programmes
	I would like to become a Career Mentor
	Alumni eNewsletter



If another household member receives AUT Alumni information....
	Please combine mailouts - to enable us to do this please provide their details below.

	Other comments:

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