UNN @60
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REGISTER
60th Anniversary Celebration Registration Form
Full Name
*
First
Last
Email
*
Phone
*
Faculty
*
Department
*
Year of Graduation
*
Present Status With Address
*
Past Accomplishment(s)
Past Position(s)
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First Time To Attend ?
*
Yes
No
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Do You Require Accomodation ?
*
Yes
No
Pledge of Annual Donations To The University
*
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