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  • class="input-box">  
  • class="details">Nationality  
  • "text" name="nationality" placeholder="Nationality" required>  
  •   
  • class="input-box">  
  • class="details">Residence  
  • "text" name="residence" placeholder="Residence" required>  
  •   
  • class="input-box">  
  • class="details">Country  
  • "text" name="country" placeholder="Country" required>  
  •   
  • class="input-box">  
  • class="details">Region/State  
  • "text" name="regionOrState" placeholder="Region/State" required>  
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  • class="input-box">  
  • class="details">City  
  • "text" name="city" placeholder="City" required>  
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  • class="input-box">  
  • class="details">Email  
  • "email" name="email" placeholder="Email" required>  
  •   
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  • class="input-box">  
  • class="details">Phone  
  • "tel" name="phone" placeholder="Phone" required>  
  •   
  • class="input-box">  
  • class="details">Gender  
  • "gender" id="gender" class="select">  
  • "">...  
  • "Male">Male  
  • "Female">Female  
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  • class="title">2) Education   
  • class="user-details">  
  • class="input-box">  
  • class="details">Department  
  • "text" name="department" placeholder="Department" required>  
  •   
  • class="input-box">  
  • class="details">Year of Gratuation  
  • "year" name="year" placeholder="Year of Gratuation" required>  
  •   
  • class="input-box">  
  • class="details">Study Level  
  • "studyLevel" id="sl" class="select">  
  • "">...  
  • "Diploma">Diploma  
  • "Advanced Deploma">Advanced Deploma  
  • "BA/BSC">BA  
  • "BA/BSC">BSC  
  • "MA/MSC">MA  
  • "BA/BSC">MSC  
  • "PhD">PhD  
  • "Speciality">Speciality  
  • "Sub-Speciality">Sub-Speciality  
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  • class="input-box">  
  • class="details">Ocopation  
  • "ocopation" id="sl" class="select">  
  • "">...  
  • "Gevernment">Gevernment  
  • "Private">Private  
  • "NGO">NGO  
  • "Job Seeker">Job Seeker  
  • "Other">Other  
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  • class="input-box">  
  • class="details">Comment  
  • class = "textarea" name="comment" placeholder=" Enter your comment here...">  
  •   
  • class="input-box">  


  •   
  • "img/Membership.gif" width="70%" height="50%" align="right" alt="Membership" >  
  •   
  •   
  • class="button">  
  • "submit" value="Save"> Save  
  •   
  • class="button">  
  • "reset" value="Reset">  
  •   
  •   
  • class="a">"logout.php" >Logout  
  •   
  •   
  • class="thankyou">  
  •  

    Hello, echo $_SESSION['name']; ?>

      
  • class="p">Thank you for filling this form
      
  • X University Registrar and Alumni Directorate  
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