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. Siddiqi Ahmed Khan
2
Present Position/ Designation
:
C/o.Vice-Chancellor, OU. Hyd-07.
3
Address
8285, Sartre Ave. Brossard, QC. J4X 154.
4
Phone No
0014506726856
5
Fax No
6
E-Mail
mahmed@videotron.ca
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
11
Cheque / DD No
075481
13
Date
21/04/06
14
Bank
SBH
15
Amount (Rs)
Rs.2000/-