Alumni Membership Application

Badji Mokhtar Annaba University

Full Name in Latin characters *

First Name (Latin) *

Last Name (Latin) *

Full Name in Arabic (Optional)

First Name (Arabic) (Optional)

Last Name (Arabic) (Optional)

Nationality *

Institution Type / Affiliation *

Faculties Institutes

Faculty *

Degree Obtained *

Specialty / Field of Study

Graduation Year *

Student Registration Number (Matricule) (Optional)

Email Address *

Password * At least 8 characters.

Confirm Password *

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