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. Khaja Ilyas Askari

2

Present Position/ Designation

:

Retd. Professor of Neurosurgery, Osmania Medical College.

3

Address

:

H.No.5-9-88/A, Opp:Fateh Maidan Club Gate, Hyderabad-500 001.

4

Phone No

:

040-23210158 / 9989199815

5

Fax No

:

 

6

E-Mail

:

kiaskari@hotmail.com

7

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

:

Osmania Medical College, Hyderabad.

8

Courses studied

:

MBBS

9

Year(s) of Study : From - To

:

1954-1959

10

Payment for membership is being made as  under

:

Cheque

11

Cheque / DD No

:

681343

13

Date

:

11-09-2007

14

Bank

:

 

15

Amount (Rs)

:

Rs. 10,000/-