Become KPUC Alumni

Full Name:

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Title:

1. Personal Details

Name of the Institution:

Kenya Polytechnic University College

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Name at Graduation:

Gender:

Year of Graduation:

Awarded:

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2. Contact Details:

Postal Address:

Town/City:

Postal Code:

Email Address:

Physical Address:

Home Phone:

3. Alumni Programme Information

(Please check all that apply)

I am interested in becoming involved in KPUC's efforts to build an Alumni programme

I would attend programme meetings

I will help organize get tongethers and events

I will host an Alumni reception in my county

I am willing to be a mentor/provide career advice to current students

College Number:

Cell phone:

Current Place of Work:

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