Alumni Registration Form
Complete your registration
* Title:
Mr
Mrs
Miss
Ms
Dr
Prof
* Surname
* Names
* Cell No
* Email address
* Last year at Dimani
* Current Occupation
Qualification 1
Qualification 2
Field of Expertise 1
Field of Expertise 2
* Committee of Interest
Select Committee
Educator & Learner Support
Sports, Arts & Culture
Infrastructure & ICT
Marketing & Events
Fundraising
Administration
Communications
* Become a Volunteer
Select Answer
Yes
No
Field of expertise as a mentor
* Alumni annual membership fee
Select Amount
Monthly R100
Quarterly R300
Once Off R1200
* Do you want to be a sponsor
Select Answer
Yes
No
* I declare that all information provided is correct and can be used for purpose of advancing Alumni objectives. I undertake to abide by the provisions of the Dimani Alumni Association Constitution and Code of Conduct
Check to Agree
Onclicking the register button the email will send containing banking details
Register