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. K. Shashikanth

2

Present Position/ Designation

:

Asst.Professor (Sr.Scale)

3

Address

:

H.No3-6-750/c, Street No.12, Himayathnagar, Hyderabad-500 029.

4

Phone No

:

040-27672699

5

Fax No

:

 

6

E-Mail

:

Kskanth332@rediffmail.com

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

:

720405

13

Date

:

07/12/2006

14

Bank

:

Andhra Bank, Hyderabad.

15

Amount (Rs)

:

Rs.500/-