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.

 :
 

 Prof. D.V.R Vithal

2

Present Position/ Designation

:

 Professor (Retired)

3

Address

:

2-2-18/29 (B-53)

Durgabai Deshmukh colony

Hyderabad-500 013

4

Phone No

:

 040-27424529

5

Fax No

:

 vithal_dvr@gmail.com

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

:

  

10

Payment for membership is being made as  under

:

  

11

Cheque / DD No

:

 103200

13

Date

:

 17/10/06

14

Bank

:

 SBH OU

15

Amount (Rs)

:

Rs.500/-