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YC Alumni Registration
  


return to www.ycalumni.org

YCite Registration Form

* telephone, address, eMail account will only be displayed to registered Ycites

all fields marked by an * asterisk are mandatory
 
 
*First Name: * Middle Initial:
*  Last Name:
*Title:         *Nickname at YC:
*Birthdate:    *YC Alumni Chapter Nearest You:
*Username:      
*Password:
Six characters or more; capitalization matters.		      
*Re-type Password:      
Occupation:

 		 Affiliations:(civic & professional)
Company:
Home Address: State/Parish: Postal/Zip Code:
Country: City:    
Telephone No.:      Home:
 
Work:
Mobile#1:
 Mobile#2:

Fax No.:

*eMail Address #1:  eMail Address #2:
     
 
 
*Years at YC: from

to  

*At YC, I was: Student Principal    
Head Boy    Vice Principal    
Head Girl  Guidance Counsellor    
Prefect Teacher   Subject (s)  
Student Council Member Other
Monitor  
     
Activities at YC:  
*YC House Membership: House activities you  
participated in at YC:		  
 
   
What have you been doing since YC?:
   
Current Interests:
   
 
   
Any Other Comments:  
 
 
        |  
  Once submitted, your form will be processed. 
A message will be sent to your eMail Address #1 to confirm your registration
for you to login with your Username and Password to access registered YCites online directory.

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