In order to strengthen our alumni network and allow us to serve you better, you are cordially invited to provide us

with your updated personal information as appropriate and send this completed form to our Office by fax or post. It
is simple and easy. Do stay in touch with your Alma Mater and be part of our alumni network!

Name : CityU Student ID No./ Date of Birth:

(English name as printed on HKID Card, surname first)
Correspondence Address :

Contact Phone Nos. : (Mobile Phone) (Home/Office)

Email :
You are encouraged to use the CityU free and permanent alumni email account service which carries a unique CityU identity
(forwarding function available). If you are not using the email service, you are most welcome to register for it or login NOW
<http://www.cityu.edu.hk/dao>. Please note that the University will communicate with you via your CityU email account once
available either by registration or by default (no registration required for graduates of year 2001 and onwards).

Job Title : Company :

Occupation (Please put a “3” in ONE of the following boxes for the categorisation) :

‰ Accountancy ‰ Culture ‰ Import & Export ‰ Performing Arts ‰ Sports

‰ Agriculture & Fisheries ‰ Education ‰ Industry ‰ Pharmacist ‰ Surveying
‰ Architectural ‰ Engineering ‰ Information Technology ‰ Planning ‰ Textiles & Garment
‰ Banking ‰ Financial Services ‰ Insurance ‰ Publication ‰ Tourism
‰ Catering ‰ Health Services ‰ Labour ‰ Real Estate & Construction ‰ Transport
‰ Chinese Medicine ‰ Higher Education ‰ Legal ‰ Religious ‰ Wholesale & Retail
‰ Commercial ‰ Hotel ‰ Medical ‰ Social Welfare ‰ Others: ___________

(Please put a “3” in the following boxes as appropriate):

‰ I would like to share the following message with my fellow alumni in the ‘Class Notes’ at DAO website and please also
include information on my graduation year and programme / ‰ Email / ‰ Occupation Details to extend my personal
network:
My message:

Many alumni have already posted their messages and you are welcome to visit
< http://www.cityu.edu.hk/dao/classnote/ > for details.

‰ I would like to display my directory profile with my name, graduation year/department and email address in ‘Find a
Classmate’ function of AIMS so that I can be included in this online alumni directory.

‰ I am interested in providing volunteer service to the University and please contact me when the need arises.

‰ I choose to read City AlumNet on web and please remove my name from the hard copy mailing list.

Date: / / Signature:
dd mm yyyy

Development and Alumni Relations Office, Rm 4131, 4/F, Cheng Yick-chi Building,
City University of Hong Kong, Tat Chee Avenue, Kowloon
Telephone: 2788 9986 Fax: 2788 9987 E-mail: dao@cityu.edu.hk Website: http://www.cityu.edu.hk/dao/

The data you provide will be used to update the University’s alumni data system (and / or membership data records
of The CityU Alumni Association as appropriate) for developing alumni services and relations and will be kept
confidential.