Title * Name * Surname * Email * Address * Please remember to provide your postal code Date of Graduation * Year Year194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Leave a Bequest * I intend to leave a bequest to UCT when I next update my Will. Please send me further information I have already included UCT in my Will, and wish to be included in the UCT Legacy Society Purpose of Bequest * Purposes for which you wish your bequest to be used Field of Study * Specific Field of Study (If Applicable) Recognition * Recognise me publicly I want to remain anonymous Signature * Please insert initial and surname as signature Date Signed * Year Year2018 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Place Signed * Query/comment Leave this field blank
