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.
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/-