NANYANG TECHNOLOGICAL UNIVERSITY

AGM Karaoke Session Registration


First Name:*         

Last Name:*          

Personal Email:*     

Year of Graduation:*

Address Line 1:      

Address Line 2:      

City:       

Country: 

Zip Code/Post Code: 

Mobile Number:* 

Is this your first AGM? Yes          No           

Will you be attending our AGM 2nd Feb 2008?: Yes          No           

How are you getting to the AGM? (driving, other): 

I am attending the Karaoke Session (S$5.00 per person, inclusive of drinks and snacks): Yes          No

Please describe briefly what kind of activities will interest you to participate in our events:


Fees

Karaoke Registration

:Alumni          Alumni Family Member

'*' are required fields, please fill in before submitting the form.