Join the UniSA Alumni Network

An alumnus of UniSA is defined as a graduate of the institution or any of its antecedent institutions, or a staff member of the University who has served the equivalent of five years full time. To become a member of UniSA Alumni Network and receive your Network Card, please complete and submit this form.

Personal details

Title (Prof/Dr/Rev/Mrs/Ms/Mr/Other)
Family name
Given name	Middle name
Preferred first name
Maiden name
Name as graduated
Date of birth
Student ID (if known)
Degree details

Home address

Street number and name
City/suburb
State/province	Postcode/zip
Country
Telephone (home)
Telephone (mobile)
Home email address

Business address

Company/Employer
Position
Street number and name
City/suburb
State/province	Postcode/zip
Country
Telephone (business)
Business email address
Fax number (business)
Telephone (mobile)

Send my mail to	Home address	Business address
Send me UniSANews via	Post	Email

Curriculum Vitae

Email us your curriculum vitae (optional)

UniSA and you

Are you a UniSA staff member? Yes No

Are you a member of any boards or committees? Yes No

If so, please name:

Please indicate if you participated in any special projects and/or extra curricula activities while a student at UniSA:

The Marketing Planning Project (MPP)

Other special projects
If so, please name:

Special interest group
If so, please name:

International Chapters

I would like to also register as member of

Hong Kong
Malaysia
Singapore
Taiwan
United Kingdom
China (ACCA)
Indonesia (OZmate)

Your contact details will be forwarded onto the relevant Chapter

I am interested in Postgraduate Study in the Division of

Business
Education, Arts & Social Sciences
Information Technology, Engineering & the Environment
Health Sciences

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