MUT Student Number/ ID Number: Title:
First Name: Surname:
Date of Birth: Email:
Qualification Graduation Year
Postal Address: City:
Suburb: Country:
Postal Code: Gender:
Home Telephone Number: Work/Office Phone Number:
Fax Number: Cellphone Number:
Current Employer: Job Title:
Which societies, sports or activities did you take part in at MUT?
Please tell us what you are currently doing?
How do you see yourself working with the Alumni Relations office?
511 Mangosuthu Highway, Umlazi, KwaZulu-Natal,4031
Latitude: S 29 58.142    Longitude: E 30 54.768