UT NROTC Alumni Contact Info Entry & Update Form

 

The following contact information form is for your use in initially entering your contact info or updating the Alumni Database. The database is used to create the Alumni Directory and also for mailing of the newsletter. Please fill in the requested information on the form below and click on the "Submit Query" button to email the information to our database manager. If you are only submitting an update, fill in your complete name, class year and only that information which is new or has changed. NOTE: Use this form only for your own information updates. If you know of other alumni who may be "lost" send whatever information you have to the Webmaster and we'll research it.

Thanks!

Please include the following contact information:

First name: MI: Last name (at commissioning):

Current Last name (if changed since commissioning):

Spouse's first name:   Last or maiden name: if we knew her/him back then.

Commissioning Class: Branch of Service: Rank:

Commissioning Date: Commissioning Program (If other than NROTC):

Please provide your home address:

Address 1:

Address 2:

City: State: ZIP/Postal Code:

Country:

Please provide work mailing address:

Address 1:

Address 2:

City: State: ZIP/Postal Code:

Country:

Home Phone:      Work Phone:

Preferred E-mail: Alternate E-mail:

Additional Info (Cell, Fax, etc):

 

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Copyright © 2002 UT NROTC Alumni Foundation
Last Updated: May 18, 2012