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Registration Enquiry form
ADMISSION FOR PHARMACY COURSES (D.PHARM, B.PHARM, PHARM.D, PHARM.D [PB], M.PHARM, Ph.D Full Time, Ph.D Part Time)

Please Note:-
  • Registration does not guarantee admission.
  • Application will be considered on First Come First Served basis.
Student's particulars *Indicates Mandatory Fields

* Academic Year 
* Course you apply for 
* Name
* Gender 
* Community 
* Caste
* Religion
  EMIS No.
* Email ID
* Date of Birth  Calendar
* Mobile Number for communication  
* Aadhar Number  
* Address (Present/Permanent)
  City 
* State
  Pin Code
  Previous Institute(School / College)  
  Last Studied
  College Hostel Required  
  Disability

 * Relation 
Parent's particulars *Indicates Mandatory Fields
 * Father Name  * Mother Name 
   Father Occupation    Mother Occupation 
 * Mobile Number    Mobile Number 
 * Email ID    Email ID 
   Aadhar Number    Aadhar Number 
DECLARATION
*  I Agree
 I certify that all the information furnished above are true.

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