Legacy Enquiry Form

Title
Forename

Please provide your given name so that we can find you on our records
Preferred name

If you go by your middle name or other preferred name you can tell us here
Surname
Surname at graduation

If you have changed your name since graduating it is helpful to know your previous name so we can find you on our records
University Reference Number (if known)

You can find this number at the top of letters sent by the University's Alumni Office, or by signing in to Your.Bham online.
I am a graduate of the University of Birmingham
YesNo

Please let us know whether you are a graduate of the University
If no, please describe your relationship with the University

If you are not a graduate of the University, please describe your relationship with us. For example, you may be an ex-staff member, a grateful patient, or are related to a graduate of the University. Knowing your relationship will enable us to tailor our communications and could help us raise valuable funds from non-alumni in future
Class Year

This is the year that you graduated
Address

Address Line 1

Address Line 2

City

County

Postcode

Country
Email
Phone
Comments

If you have already left a gift in your Will, thank you. We would love to hear your reasons for giving, or any fond memories from your time at Birmingham. If you wish to make any further comments you may do so here.