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
:
Doctor.
3
Address
H.No.8-1-54, Venkateswara Colony, Mahabubnagar.
4
Phone No
9440295896
5
Fax No
6
E-Mail
7
Name of the College from where he / she has studied last
Gandhi Medical College, Hyderabad.
8
Courses studied
M.B.B.S.
9
Year(s) of Study : From - To
1968-1974
10
Payment for membership is being made as under
Cheque
11
Cheque / DD No
13
Date
14
Bank
15
Amount (Rs)
Rs.10,000/-