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
:
Builder
3
Address
H.No.7-1-28/1/4/1, A&B, Flat No.402, Vijayaveer Residency, Shyam Karan Road, Ameerpet, Hyderabad-16.
4
Phone No
9393193293
5
Fax No
6
E-Mail
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
Cheque
11
Cheque / DD No
340438
13
Date
23-10-2007
14
Bank
Andhra Bank.
15
Amount (Rs)
Rs.10,000/-