REGISTRATION FORM
Greetings of Peace!  We would appreciate your time and cooperation in filling out this form.
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Email *
Alternative email (if any and in case you do not receive the Zoom code in your main email)
DATA PRIVACY STATEMENT FOR ALUMNI
We share the alumni's information as permitted or required by law in line with our objectives as an educational institution.  Access will be given primarily to the Office of the President and the Maryknoll/Miriam College Alumni Association.  In the area of social media, disclosure of personal and/or academic-related information will be upon explicit consent of the alumni.
Date of Registration *
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DD
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YYYY
Are you an : *
FULL NAME (Maiden Name/Married Name) ex. Marie Cruz/Marie Cruz-Santos *
MC BATCH (kindly indicate all,  ex. CSC'78, GS85, HS89, Coll 93)   *If you are Faculty, kindly put "0" on the blank *
*If FACULTY, kindly specify years of service and what units did you teach in (CSC, GS, HS, Coll, Masteral)
Contact Number *
Location of Residence *
Home Address *
Business Address
Are you interested to attend the meeting? *
What are your expectations from the meeting?
Thank you for taking the time out to accomplish this form.  Once we receive your intent to attend, we will send you the Zoom meeting link to your given email address.  We are truly grateful for your enthusiasm in this endeavor.  If you have further queries or clarifications, please feel free to email us at alumni.mmcaa1979@gmail.com 
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