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Registration
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Registration
Application Fee - 800
Application for B.Pharm & D.Pharm
Fill all the details and pay application fee along with submission *
Name
Email
Phone Number
Date of Birth
Select Course
Select Course
B Pharmacy
D Pharmacy
Alternative Number
Address
Pin code
District
State
10th Board Percentage
12th Board Percentage
Subject
Select Subject
PCB
PCM
Others
Specify the subject and marks Subject 1
Select
Physics
Subject 2
Select
Chemistry
Subject 3
Select
Biology
Mathematics
Computer Science
Biotechnology
Othres
Additional Subjects, if any
Marks / 100
Marks / 100
Marks / 100
Father Name
Occupation
Annual Salary
Father's Phone Number
Email
Mother Name
Occupation
Annual Salary
Mother's Phone Number
Email
Photo
Signature
10th Marks Card
12th Marks Card
I hereby solemnly affirm that the statement made and information furnished in my application as also in all the enclosures there to submitted by me are true. I declare that, I will if admitted abide by the rules and regulations of the college.
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