ALUMNI ASSOCIATION OF OSMANIA UNIVERSITY

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. Prakash Kurumkar
2	Present Position/ Designation	:	Asst.Registrar, Academic, OU. Hyd-07.
3	Address	:	H.No:3-4-1013/11/1/A, Kachiguda, Hyderabad-500 027.
4	Phone No	:	91-40-27551056
5	Fax No	:
6	E-Mail	:
7	Name of the College from where he / she has studied last	:
8	Courses studied	:	B.Sc., and M.Sc. Appl. Maths.
9	Year(s) of Study : From - To	:	1971-76
10	Payment for membership is being made as under	:	Cheque
11	Cheque / DD No	:	051142
13	Date	:	1-03-06
14	Bank	:	SBH, OU. Branch
15	Amount (Rs)	:	Rs.500