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Alumni and Advancement

Update membership details

**Please note: Law alumni should use the form at:

www.latrobe.edu.au/alumni/chapters/law/keep-in-touch/registration-form

Membership information

Alumni membership number if known
Additional Information Chapter/Network/Club
Replacement Card If you select "Yes" a replacement alumni membership card will be shipped to your nominated postal address

Personal details

Title
Given name *Required.
Family name *Required.
Family name when enrolled at LTU if different to above
Date of birth *Required (dd/mm/yyyy).

Contact details

Street address *Required.
City *Required.
State *Required.
Post code *Required.
Country
Phone #1 *Required.
Phone #1 type *Required.
Phone #2
Phone #2 type
Phone #3
Phone #3 type
Phone #4
Phone #4 type
Email *Required.

Study details

Student number if known
Qualification
Year
Campus

Employment details

Position/title
Employer
Business address