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.

 

Mrs.B.Sirisha

2

Present Position/ Designation

:

Assistant Professor.

3

Address

:

H.No.13-73, P & T Colony, Dilsukhnagar, Hyderabad-60.

4

Phone No

:

9440347320

5

Fax No

:

 

6

E-Mail

:

 

7

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

:

J.N.T.U. Hyderabad.

8

Courses studied

:

M.Tech.

9

Year(s) of Study : From - To

:

2001-2003

10

Payment for membership is being made as  under

:

 

11

Cheque / DD No

:

 

13

Date

:

 

14

Bank

:

 

15

Amount (Rs)

:

Rs. 500/-