Alumni Registration Form

Alumni Registration Form
Alumni Registration Form
🔒 POPIA Disclaimer

In accordance with the Protection of Personal Information Act (POPIA), the Institute of Infectious Disease and Molecular Medicine (IDM) is committed to safeguarding your personal information. The details you provide will be used solely for the purpose of establishing and maintaining the IDM Alumni Network. This includes communicating with you about news, events, opportunities, and initiatives relevant to IDM alumni. Your information will be stored securely, will not be shared with third parties without your consent, and you may request access to, correction, or deletion of your data at any time. By completing this form, you consent to the collection and use of your personal information for this purpose.
Name*

First NameLast Name
Email
example@example.com
Previous Supervisor / Primary Investigator*
Which year did you graduate?*
What was your qualification?*
What is your present area of expertise?*
Subscribe to the IDM quarterly newsletter

YesNo
Should be Empty: