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.

 

Mr. Kommineni Seshagiri Rao

2

Present Position/ Designation

:

 

3

Address

:

H.No.6-3-597/D/11, Anand Nagar Colony, Khairathabad, Hyderabad-04.

4

Phone No

:

984986219 / 040-23314018

5

Fax No

:

 

6

E-Mail

:

 

7

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

:

University College of Arts, O.U.

8

Courses studied

:

M.A., M. Phil

9

Year(s) of Study : From - To

:

 

10

Payment for membership is being made as  under

:

Cheque

11

Cheque / DD No

:

994387

13

Date

:

20-09-2007

14

Bank

:

ICICI Bank.

15

Amount (Rs)

:

Rs.10,000/-