Submit Personal Details

 

We need your support and cooperation to ensure that this website has accurate and current information. Therefore, we request all Old Publicans to send us all relevant information, including Personal Details, Comments, and Other Information. To submit personal details, simply fill in the form below, attach your "Then" and "Now" photographs and click on "Submit".

 

Please note, when submitting personal information, that this information will be placed on the website and will be available as public information. Therefore, please do not include any information that you do not want the general public to access.

 

Full Name

(as you want it to appear on the website)

Previous Name

(as in the school register, if different)

Class Of

(year in which you passed Matric exam)

 

Email Address

Mobile Phone

Home Phone

Office Phone

Home Address

(Give complete address including city and country)

Office Address

(Give complete address including designation, organization, city and country

Summary Profile

(A brief description of your achievements and accomplishments in personal and official life)

Misc. Information

(Other information that you would like to share on the Old Publicans website)

Photograph "Then"

(Upload your photograph from school days, by clicking on browse)

Photograph "Now"

(Upload your current photograph, by clicking on browse)