Alumni Update Form

As Our Alumni You Are Very Important to Us!
We want to hear from you and share your news with the wide DISTED community.

Let Us Know What You Are Up To
Please fill out the form below to update us on what you are doing! Give us your address, phone number, email address and any information you would like to share with us to stay connected to the DISTED community. For more information, contact us at ppa@disted.edu.my

Would you like to receive one of the following? Check all that apply.

Disted Alumni Card

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First Name:*

Last Name:*

Preferred Pronoun

Phone*

Email*

Street Address*

Address Line 2

City*

State/Province/Region*

Zip/Postal Code*

Country*

Which program did you attend?*

When did you graduate?

**Please enter the four digit year only. If you did not graduate, please leave this space blank.

Share something about yourself.

**Please limit to 375 characters. Information submitted here may be printed in our social media and eNewsletters.

Would you like to receive one of the following? Check all that apply.

DISTED Alumni Card
DISTED Alumni eNewsletter
Periodic news from your programme
Information about admissions to a DISTED program.
Invitations to alumni events

Please let us know the industry that best describes your work.

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