ASA-Pakistan Membership Registration

Login Information

   
Your Email: *
 
 
Re-enter Email: *
 
 
Password: *
 
 

Part A - Personal Details

   
Title: *
   
 
First Name: *
   
 
Last Name: *
   
 
Gender: *
   
 
Photo:
 Step 1   

Step 2   
 
 
 
Place of Birth: *
   
 
Date of Birth: *
(dd/mm/yyyy)
 
 
Citizenship: *
   
 
Marital Status: *
   
 
Current Address: *
   
 
 
Current City: *
   
 
Permanent Address:
(if different from above)
   
 
Permanent City:
 
 
Telephone (home): *
   
 
Telephone (work):
 
 
Mobile: *
   
help
 

Part B - Academic Background

Please fill this part of the form giving exact details of your studies.

SCHOLARSHIP DETAILS
 
 
 
Course Name
University - City
AusAID Scholarship Degree: *
 
 

NOTE: Please mention complete name of the course, e.g. "Master of ..." or "Diploma in..." or "PhD in...", that you eventually completed on your scholarship, before returning to Pakistan - this may be different to the course that was originally awarded to you.

 
Stay in Australia: *
From
To
 
   
 
 
 
 
 
Funding: *
   
 
Scholarship Type: *





     
 
Scholarship Intake Year: *
   
 
OTHER QUALIFICATION(S)
 
 
Course Name
University - City
Highest Degree: *
(last qualification, before scholarship)
 
 
 
 
Start Date
Date completed
Country
 
     
 
 
 
 
 
 
Course Name
University - City
Other Degree:
(if applicable)
 
 
Start Date
Date completed
Country
 
 
 
Research Papers Published:
(if any)
 
 

Part C - Employment Details

 
 
Name
City
Current Employer: *
 
-
 
 
Sector: *





 
 
Department / Project:
 
 
Position: *
   
 
Job Description (in brief):
 
 
BEFORE/AFTER SCHOLARSHIP
 
 
Job Position
Employer - City
Before Going to Australia:
/
 
After Returning from Australia:
/
 
 

Part D - Other Information

 
Personal Interests / Hobbies:
 
 
Special Award(s) / Prize(s) / Recognition Recieved During Study in Australia:
 
 

Declaration

 

It is declared that all information set out in this form is true and correct to the best of my knowledge and belief.

I agree that my name may be included in membership lists made available to other alumni and ADS may contact me via phone/email regarding Alumni activities.#.
 
Declaration: *
   
 
 

# Note: The above information will be used for data summary purposes, website listing and distribution of newsletters and invitations. Individual personal information will not be released without your prior approval.