Old Collegians Registration Form
St Bede's Old Collegians Association (SBOCA)
Surname *
What is the surname of the Old Collegian? e.g. Smith (first letter only CAPITAL)
Your answer
First Name *
e.g. Brian (first letter only CAPITAL)
Your answer
Second Name
e.g Anthony
Your answer
Title *
e.g. Mr
Exit Year *
What Year did they leave the College e.g. 1969 (Last calendar year at SB - 4 digits)
Your answer
General Comment
If deceased, etc. can be written here. Crucial comments only - nothing of 'general interest'
Your answer
Home Phone
Landlines only - with prefix e.g. 03 9335 7865 (spaces for clarity optional)
Your answer
Last School Year Level *
Choose from the drop-down list
Address
No. & Street e.g. 7 Smith Street
Your answer
Suburb / Town
e.g. Mentone (Please enter suburbs such as East Bentleigh as Bentleigh East.)
Your answer
Postcode
e.g. 3166 (Lookup here if needed: link to come)
Your answer
Mobile Phone *
e.g. 0418 123 546 (Spaces for clarity optional; if international code, will commence +614 if an Australian mobile number. Enter NA if don't own a mobile phone.)
Your answer
Email *
e.g. jpexample@bigpond.net.au (check to be 100% correct)
Your answer
Updated *
e.g. 2/09/2013 (Click on calendar 'box' and select today's date)
MM
/
DD
/
YYYY
Participate in Mentoring Program *
Participate in Careers Night *
Participate in Work Experience Program *
Entered by
e.g. Peter Smith (Enter your name)
Your answer
Submit
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