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.P.Ratnakar

2

Present Position/ Designation

:

Chief Medical Administrator-ICFAI

3

Address

:

No. 3-5-1027, Narayanaguda, Hyderabad-29.

4

Phone No

:

9391909356

5

Fax No

:

 

6

E-Mail

:

 

7

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

:

Osmania Medical College, Hyderabad.

8

Courses studied

:

M.B.B.S.

9

Year(s) of Study : From - To

:

1969-1975

10

Payment for membership is being made as  under

:

Cheque

11

Cheque / DD No

:

191443

13

Date

:

08/11/2009

14

Bank

:

Andhra Bank.

15

Amount (Rs)

:

Rs. 500/-