Retirement & Recognition Ceremony - The Gift of Being
Please fill in the form to confirm that you will be attending for this event. If you encounter any issues while filling in this form please contact Ms Amanda Borg Ciantar at amanda.ciantar@um.edu.mt

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Section I - Personal Details
Email address *
Title *
E.g. (Mr, Ms, Dr, Professor)
Name *
Surname *
Mobile Number *
ID Card Number *
Photos and video clips taken on the day will then be shared on various UM media channels. Please provide your consent. *
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