We would love to hear about how you would like to connect with your alma mater

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* 1. Full Name (as you had registered as a USP student)

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* 2. USP Student ID (or your date of birth if you do not remember your ID)

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* 3. Email address (personal email address)

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* 4. Phone number (please include country code)e.g +679 999-9999

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* 5. Mailing address

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* 6. Would you be interested in receiving newsletters and updates on events from us via email?

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* 8. Job role and organisation name (if employed)

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* 9. Please select the ways you would be interested in getting more involved with USP (pick your top 5)

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