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. Satyendra Kumar Srivastava

2

Present Position/ Designation

:

  

3

Address

:

 7/125-B, Vikasnagar, Lucknow-226022.

4

Phone No

:

 05222767177 / 9415002007

5

Fax No

:

  

6

E-Mail

:

 srisatyendra@yahoo.com

7

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

:

 Osmani University External.

8

Courses studied

:

 B.A.

9

Year(s) of Study : From - To

:

  

10

Payment for membership is being made as  under

:

  

11

Cheque / DD No

:

 096056

13

Date

:

 25/08/2006

14

Bank

:

 CITI Bank, N.A, Hyderabad.

15

Amount (Rs)

:

 Rs. 500/-