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.
2
Present Position/ Designation
:
Contractor
3
Address
H.No.2-2-18/16/C, Shanthamma Apts., Flat No.501, D.D. Colony, Bhagh Amberpet, Hyderabad-13.
4
Phone No
5
Fax No
6
E-Mail
7
Name of the College from where he / she has studied last
8
Courses studied
9
Year(s) of Study : From - To
10
Payment for membership is being made as under
Cheque
11
Cheque / DD No
427115
13
Date
05-10-2007
14
Bank
15
Amount (Rs)
Rs.10,000/-