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. Kalakuntala Laxmi Venkat Rao

 

2

Present Position/ Designation

:

 

3

Address

:

Flat no.002, Plot no. 10-2-413, Francies Apts., Nehru Nagar, West Marredpally, Sec-bad-26

 

4

Phone No

:

040-55320530

5

Fax No

:

 

6

E-Mail

:

 

7

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

:

O.U. College for Women, Koti.

8

Courses studied

:

P.U.C., B.Sc., M.Sc., Ph.D. (Chemistry)

9

Year(s) of Study : From - To

:

1975-1988

10

Payment for membership is being made as  under

:

 

11

Cheque / DD No

:

 

13

Date

:

 

14

Bank

:

 

15

Amount (Rs)

:

Rs.500/-