OBU Membership No (Ex. P/0845)*
Surname (Last Name)*
Other Names*
NIC / PP No*
Address Line 1*
Address Line 2
City*
Tel*
Fax
Mobile 1*
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Mobile 2
Email 1*
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Email 2
Profession / Vocation / Trade
Organization
Designation
Business Address
Business Tel
Business Fax
Batch Group* Pre Seventies1971-741975-821983-861987-921993-941995-20002001-032004200520062007200820092010201120122013-172018-222023
Overseas Branch (if applicable only) NoneAustralia - MelbourneAustralia - AdelaideAustralia - BrisbaneAustralia - PerthAustralia - SydneyBahrainCanada - TorontoCanada - VancouverNew ZealandOman - MuscatQatar - DohaSaudi Arabia – RiyadhUAE - DubaiUnited KingdomUSA - Washington DCUSA - California
Date of Leaving School*
Peterite Connect Enrollment (Please tick the appropriate category) Accounting (Accounting, Auditing, Tax and Risk Management)AcademicArt & CultureArchitecture, Construction & Real Estate (ACR)AutoMedia & EntertainmentSTEMClergyICT & BPOMaritime (Shipping, Transport & Logistics)Environment & SustainabilityTrade (Retail, Trade & Commerce)LegalFinancialPlantationsMedicalDefence ServicesInsuranceSports Science (Sports, Fitness and Wellness)TourismPublic ServiceEntrepreneursSales, Marketing & PROther
Others-Please specify
Foundations (if applicable only) Arts FoundationBasketball FoundationCadet FoundationFootball FoundationRugby FoundationSwimming FoundationTennis FoundationTrack & Field FoundationScouts Foundation
Member of PTA* YesNo
IF Yes Student Registration Number*
Member of Welfare Society* YesNo
Peterite Lounge Member* Non-MemberLifeAnnual
Period at St. Peter's College From
To
Grade Joined
Attach the School Leaving certificate (Applicable for New Members Only).
I hereby agree to abide by the rules of St. Peter’s College Old Boys’ Union
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