ALUMNI ASSOCIATION OF OSMANIA UNIVERSITY

Office of the Registrar, Osmania University, Hyderabad-500 007

(Regd.No.590 0f 2003)

 

MEMBERSHIP FORM

Alumni Information:

 

 

 

 

 

1

Name in Full: Prof. / Dr. / Mr./Mrs.

 

Dr.G.Vivekanand

2

Present Position/ Designation

:

Managing Director of Visaka Ind. Ltd.

3

Address

:

H.No.1-8-303/69/3, Visaka Towers, S.P.Road, Sec-bad-500 003.

4

Phone No

:

040-27814999 / 9347531827

5

Fax No

:

 

6

E-Mail

:

vivek@visaka.in

7

Name of the College from where he / she has studied last

:

Osmania Medical College.

8

Courses studied

:

M.B.B.S.

9

Year(s) of Study : From - To

:

1975

10

Payment for membership is being made as  under

:

Cheque

11

Cheque / DD No

:

3399995

13

Date

:

24/09/2007

14

Bank

:

ICICI Bank

15

Amount (Rs)

:

Rs 1,00,000/-