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. Asif Ali Khan
2	Present Position/ Designation	:	Contractor
3	Address	:	H.No.10-1-13/3, A.C.Guards, Hyderabad.
4	Phone No	:	040-23316492 / 9246500060
5	Fax No	:
6	E-Mail	:
7	Name of the College from where he / she has studied last	:
8	Courses studied	:	B.Sc.
9	Year(s) of Study : From - To	:	1972
10	Payment for membership is being made as  under	:	Cheque
11	Cheque / DD No	:	968867
13	Date	:	10-09-2007
14	Bank	:	Bank of Maharastra.
15	Amount (Rs)	:	Rs. 10,000/-