Middle East and Gulf Australian Alumni Network MEGAA REGISTRATION FORM
PLEASE COMPLETE and submit or FAX to AEI on (+971) 4 321 2677 or EMAIL to study.in.australia@austrade.gov.au
ABOUT YOU
Last Name		Required
First Name		Required
* Title	Mr Mrs Ms Dr Prof Eng
Birth Date (dd/mm/yy)		Required
Nationality		Required
ADDRESS
PO Box		Required
Street Address
City/ Emirate		Required
Country		Required
Mobile Ph		Required
E-Mail		Required
Office Ph
Fax
STUDY DETAILS
Australian University graduated from		Required
Degree obtained		Required
Graduation Date		Required
Have you completed any further education since graduation	Yes No
Please specify
Are you part another ALUMNI group?	Yes No
Please specify
EMPLOYMENT DETAILS (complete this section if currently employed)
Current Occupational Title		Required
Employer		Required
Main Work Duties		Required
Location
How many other Australian graduates do you know are currently working in your organisation?	0 1 to 5 6 to 10 11 to 15 16 to 20 greater than 21
How did you hear about MEGAA Network?		Required
Volunteers are needed to help led MEGAA chapters in your country of residence. Would you be like to help? Yes
Date
Re-enter Date exactly as above, use "."		Required
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