Alumni Data Entry Form

Dear Alumni of Mataram University, Greetings, In order to improve the quality of the institution particularly for institutional accreditation purposes and international rankings, we invite you, Alumni, to kindly update your alumni data through this form. The data you provide will be used for academic and institutional purposes, and its confidentiality is guaranteed in accordance with applicable regulations. Your participation is highly valuable in supporting the development and reputation of the institution at both national and international levels. Thank you for your attention and cooperation.

Please complete the following data accurately.

Full Name *

Gender *

Study Program / Major *

Title *

Entry Year *

Academic entry year

Graduation Year *

Academic graduation year

Email Address *

Phone *

Company Name *

Country *

Industry *

Position / Job Title *

Estimated Number of Employees Under Your Supervision or Management (If Any) *

If none, filled with 0.

Supervisor Information

* If you are self-employed (entrepreneur/business owner) and do not have employees, please fill in the supervisor details with your own information.
** We strongly encourage you to complete the supervisor details as thoroughly as possible. However, if any information is unknown, you may leave it blank.

Supervisor Full Name

Supervisor Position / Job Title

Supervisor Gender

Supervisor Email Address

Supervisor Phone Number