MBA Program and University:

1. Name: Photo ID Code: Date of Birth: Phone: Nationality: Email: Field of Activity/ Industry: I. Career Objective: MBA Program and University: II.Education and Qualification: III. Work Experience: • IV. Pending Academic Issues • Have you received your MBA Degree from the University you have graduated from? • Where is the graduation date ( Date of Completion your Thesis)? • Have you received your IMI Certificate from the IMI? • V. Role of Alumni Member / Expectations and Facilities/ Sponsorship • Fields of Cooperation with AHK- Alumni? Training Services Visa Networking • Would you like to participate at Alumni Sponsorship ,fund raising or consulting roles? • Would you like to be in the Alumni Executive Board / or Alumni Board of Trustees? • What kind of help or services can you provide to the Alumni society in the future? • What is your point of view and expectations from being at AHK-MBA Alumni?

2. VI. Further Education Plan: • Are you interested in having further education( DBA)? (Please indicate your interests international programs or local programs?) VII. Hobbies and the field of Interests ( Please indicate your field of interests and hobbies): VIII. :Data Bank / Website Would you like to put your company’s information on Alumni Data bank? ( please define the limitation and confidentiality of your data) IX. :Advertising on Website Would you like to put advertisement on Alumni website for informing other graduate s or other Alumni members about your company network and fields of activities? X :Alumni Committees Are you interested to join any following committees? A- Event Committee B- Financial Committee C- Sport Committee D- Regulation and Legislation Committee E- Membership Committee F- Chamber of Thoughts and Idea s( i.e managerial issues / coaching and consulting/ needs of the industry etc.) Date /Signature