NUS Graduate School for Integrative Sciences and Engineering (NGS) Alumni Club Centre for Life Sciences (CeLS) #05-01, 28 Medical Drive, Singapore 117456 Tel: 65165524 Alumni Signup Form Brief Background: With up to a hundred members joining the ranks of the NGS alumni now, it is timely to start an alumni club that is fully run by the NGS alumni themselves. The alumni club serves as a platform for its members to get-together, network and connect with the NGS office. With alumni members moving out to various sectors such as the industry, academia, government bodies etc., networking opportunities are highly valuable and the alumni club serves as a platform to do so. Personal Particulars: Full Name: ___________________________________________ Gender: M / F Residential/ Mailing Address: _____________________________________________________________________ Zip Code: _______________ Deployed Research Institute: _____________________________________________________________________ Email Address: 1) __________________________________________________ 2) __________________________________________________ Contact No.: _________________ (O) _____________________(HP) Preferred Area of Helping: (please indicate 1 for most preferred and 3 for least preferred) Exec. Committee Organize Events Publicity & Marketing