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Application for B.Pharm & D.Pharm

Fill all the details and pay application fee along with submission *

Name

Phone Number

Date of Birth

Select Course

Alternative Number

Address

Pin code

District

State

10th Board Percentage

12th Board Percentage

Subject

Specify the subject and marks Subject 1

Subject 2

Subject 3

Additional Subjects, if any

Marks / 100

Father Name

Occupation

Annual Salary

Father's Phone Number

Mother Name

Occupation

Annual Salary

Mother's Phone Number

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.

Registration

Application for B.Pharm & D.Pharm

Fill all the details and pay application fee along with submission *

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