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. Gousar Rahman Khan

2

Present Position/ Designation

:

Sr. Adm. Officer, M.J. College of Engineering.

 

Address

:

H.No. 17-8-659/58/c/1, Shah Colony, Hyderabad-500 024.

4

Phone No

:

040-24578900

5

Fax No

:

 

6

E-Mail

:

 

7

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

:

N.B. Science College, Hyderabad.

8

Courses studied

:

B.Sc.

9

Year(s) of Study : From - To

:

1959-1962

10

Payment for membership is being made as  under

:

 

11

Cheque / DD No

:

142545

13

Date

:

19/11/2006

14

Bank

:

State Bank of Hyderabad.

15

Amount (Rs)

:

Rs.500/-