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. S.A. Shukoor

2

Present Position/ Designation

:

Associate Professor

3

Address

:

Department of Urdu, Nizam College, Hyderabad-5000 01.

4

Phone No

:

040-55765042

5

Fax No

:

 

6

E-Mail

:

dr_shukoor@yahoo.com

7

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

:

 

8

Courses studied

:

M.A., M.Phil., Ph.D.

9

Year(s) of Study : From - To

:

1983-1992

10

Payment for membership is being made as  under

:

 

11

Cheque / DD No

:

 

13

Date

:

 

14

Bank

:

 

15

Amount (Rs)

:

Rs.500/-