ALUMNI ASSOCIATION OF OSMANIA UNIVERSITY

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. Laxmaiah. B
2	Present Position/ Designation	:	Assoc. Prof., Dept. of Geography, O.U.
3	Address	:	H.NO:12-13-639/201, V.S. Residency, Nagarjuna nagar, Tarnaka, Sec'bad-17.
4	Phone No	:	91-40-27682203(O),91-40-27150504(R)
5	Fax No	:
6	E-Mail	:
7	Name of the College from where he / she has studied last	:	University College of Arts and Social Science, OU.
8	Courses studied	:	B.A.,M.A.,M.Phil. and Ph.D. OU.
9	Year(s) of Study : From - To	:	1977-1984
10	Payment for membership is being made as under	:	Cheque
11	Cheque / DD No	:	244493
13	Date	:	21/02/04
14	Bank	:	SBH
15	Amount (Rs)	:	Rs.1100/-