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.S.Srinath

2

Present Position/ Designation

:

PGT-Political Science.

3

Address

:

# 35, Kanchikamathi Nagar, 3rd St, Madipakkam, Chnnai-600091.

4

Phone No

:

9283186571

5

Fax No

:

 

6

E-Mail

:

sssrinath@yahoo.com

7

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

:

External Student.

8

Courses studied

:

B.A.

9

Year(s) of Study : From - To

:

1993

10

Payment for membership is being made as  under

:

Cheque

11

Cheque / DD No

:

404074

13

Date

:

10-09-2007

14

Bank

:

UTI Bank.

15

Amount (Rs)

:

Rs. 500/-