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Account Information
 
   Username:   -your Net ID
   Password:   -minimum of 6 characters
   Verify Password:  
 
 General Information
 
   UIN Number:   -9 digit purple part of your UIN (I-Card)
   First Name:  
   Middle Name:   (optional)
   Last Name:  
   Birth Date:    
   Gender:  
   Civil Status:  
   Campus Address:  
   Phone Number:   (optional if Mobile Number provided)
   Mobile Number:   (optional if Phone Number provided)
   Email:  
   Web Site:   (optional)
 
   Person to notify in case of emergency:
 
   Full Name:  
   Address:  
   Contact Number:   (optional)
 
 Academic Information
 
   Program of Study:  
   Year Level:  
   Semester:  
   School Year:  
 
 
 
Institute of Aviation at University of Illinois Urbana-Champaign