Old Gallian Data Form

This data is required for Old Gallians Directory. For any updates and changes, please refill at the request of the Administrator.

Name*
Prefix First Middle Last Suffix
Date of Birth
Address*
Street Address City County / State / Region ZIP / Postal Code Country
Current Profession*
Organisation
Educational qualifications
Phone*
Email*
Website
Years at LCGG*

e.g 1974-79
Year of Leaving*
When were you in Inter/SC? If you left LCGG earlier, what year would have you been in Inter/SC if you stayed there)

e.g. Inter 79 or SC 65
House*
Were you a member of any school teams? If yes, please describe below:
Were you a Prefect or Headboy? If yes, please tell us about it:
Please mention any awards and honours won at LCGG. Please use multiple selections if necessary:
College Colours won in..... (Please provide details):
Please furnish any other details of your stay at LCGG:
Facebook ID:
Please upload your recent picture:
Accepted file types: jpg, jpeg, png, gif.
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