For Office Use only
Photograph
BAC-A.A.No.________
Alumni Association Membership Form
(Only B.A.C. Quetta Graduates/Post-Graduates is eligible)
Your details
1.
Please complete the appropriate sections
PERSONAL DETAILS
3(a)
IF YOU WERE A STUDENT
Specialization/Course Studied:
Title (e.g. Mr/ Ms/ Dr)
Name:
Family Name (if different when at College)
Date of Birth:
Gender:
Male
Female
Department/Centre/Institute/College:
Nationality:
Address:
Post code:
Ph: Res.
Off.
Mobile No.
Year started:
Year ended:
Email Address:
2.
CAREER DETAILS
Current Employer / Organization:
3(b)
IF YOU ARE/WERE A MEMBER
OF TEACHING/
ADMINISTRATIVE STAFF
Job title
Job title:
Address
Terminal Degree
Postcode
Work Tel:
Work Fax
Experience
Stay Connected
If you would like to receive information from B.A.C. Quetta, please tick the relevant box (and make sure
you provide your email address in the section above).
Alumni Membership Card
E-zines
Events
If you would like to have access to College website, please attach two identical, passport-sized
photographs of yourself with your name clearly written on the back. The Alumni Membership Card will
act as you ID when you visit in future. Please tick the box if you WOULD like to receive card
Please Return Completed Application From
By post: The Director Q.E.C., Administration Block, Balochistan Agriculture College,
Balelei, Quetta.
Singed: ……………………………………………………………………………… dated ……………………………………………….