Pakistan-U.S. Alumni Registration Form

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Pakistan-U.S. Alumni Registration Form
The U.S. Embassy’s Public Affairs Section is updating the contact information of its exchange program alumni. The alumni include anyone who has visited United States on any U.S.-government funded exchange program or participated in any in-country program, such as the English Access Microscholarship Program.
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* Indicates required question
Full Name: *
Your answer
Date of Birth: *
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YYYY
Position/Title: *
Your answer
Profession/Department: *
Your answer
Office Address: *
Your answer
Home Address: *
Your answer
Preferred Address *
Telephone: Residential *
Your answer
Telephone: Office *
Your answer
Telephone: Mobile *
Your answer
Fax:
Your answer
Email *
Your answer
Gender *
Exchange Program *
Name of Exchange Program *
Your answer
Starting Date of Exchange Program *
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YYYY
Ending Date of Exchange Program *
MM
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DD
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YYYY
I agree to contact a Lincoln Corner or American space in my area to schedule a discussion of my exchange program and my experiences in the United States within the next 90 days.   *
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PUAN EDITOR

Pakistan-U.S. Alumni Network (PUAN) is an association of U.S. exchange alumni who are committed to making meaningful contributions to Pakistan and comprise of current and former Pakistani participants of U.S. federal government-sponsored exchange programs.

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