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.

 

Mrs. Mallika Haran

2

Present Position/ Designation

:

Hose Wife

3

Address

:

Flat No. 201, United Annexe Dharam Karan Road, Leela Nagar, Ameerpet, Hyderabad-500016.

4

Phone No

:

040-65581911

5

Fax No

:

 

6

E-Mail

:

Hemasrinivas70@yahoo.com

7

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

:

College of Distance Education.

8

Courses studied

:

M.A. (PPM)

9

Year(s) of Study : From - To

:

1995-1997

10

Payment for membership is being made as  under

:

 

11

Cheque / DD No

:

259316

13

Date

:

06/11/2006

14

Bank

:

IndusInd Bank, Sec-bad.

15

Amount (Rs)

:

Rs.500/-