UCIC Alumni Registration Form

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This is to register UCIC Alumni Program for ex-employees
( The information given will be secured and will not be shared with any third party or other agency other than Government officials unless they asked for. It will be used by UCIC for the purpose of contacting you or informing you any Alumni Updates)

Please give your Full Name *

Please give employee Code with UCIC *

Please give your managers name *

Your Date of Birth *

YYYY

Your current address *

Your spouse name *

Your children's name *

Your contact or mobile number *

Your email id *

Submit

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