1

Name in Full: Prof. / Dr. / Mr./Mrs.

PROF. L. SRINIVAS RAO

2

Present Position/ Designation

:

 Professor, Dept. of Physics, Nizam College, Hyd

3

Address

:

43, O.U. Teacher’s Colony, Sainikpuri, Sec-bad-500 094.

4

Phone No

:

 27113645

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

:

 1973-1978

10

Payment for membership is being made as  under

:

11

Cheque / DD No

:

13

Date

:

14

Bank

:

15

Amount (Rs)

:

 Rs.1,100/-