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. Shashivardhan Reddy. T

 

2

Present Position/ Designation

:

 

3

Address

:

1216 HIDDEN RDG APT 2063, IRUING, TX, USA-75038-4479

 

4

Phone No

:

1-678-429-8595

5

Fax No

:

 

6

E-Mail

:

Tekula2020@yahoo.com

7

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

:

Aurora Degree College

8

Courses studied

:

B.S.C. Computer Science

9

Year(s) of Study : From - To

:

1995-1998

10

Payment for membership is being made as  under

:

 

11

Cheque / DD No

:

061000052

13

Date

:

26/03/06

14

Bank

:

Bank of America

15

Amount (Rs)

:

 50$