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. M. Madhusudhan Reddy

2

Present Position/ Designation

:

Chairman, Nava Bharathi Education Society.

3

Address

:

H.No.7-1-28/1/4/1, A&B, Flat No.502, Vijayaveer Residency, Shyam Karan Road, Ameerpet, Hyderabad-16.

4

Phone No

:

9848044224

5

Fax No

:

 

6

E-Mail

:

 

7

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

:

 

8

Courses studied

:

M.A., M.Ed., Ph.D

9

Year(s) of Study : From - To

:

 

10

Payment for membership is being made as  under

:

Cheque

11

Cheque / DD No

:

427114

13

Date

:

05-10-2007

14

Bank

:

UTI Bank

15

Amount (Rs)

:

Rs.10,000/-