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ASPM's K. T. PATIL COLLEGE OF PHARMACY, OSMANABAD
ADMISSION ENQUIRY FORM
FOR FIRST YEAR B. PHARM, PHARM. D COURSE IN PHARMACY FOR ACADEMIC YEAR 2020-2021
* Indicates required question
ADMISSIONS OPEN
Name of Student (As per HSC Marks card)
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Your answer
Student Mobile No. (Preferably What's app)
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Your answer
Parent mobile No. (Preferably What's app)
Your answer
E-mail ID
Your answer
Gender
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Male
Female
Name of City/Village
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Your answer
Name of District
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Your answer
Name of State
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Your answer
Category
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Choose
Open
SC
ST
VJ
NT
SEBC
Other
Group Score (Total of PCB/Total of PCM)
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Your answer
What is your last qualification?
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Your answer
Name of the earlier institute studied (12th)
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Your answer
Marks/Percentage scored in SSC Exam?
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Your answer
Marks/Percentage scored in HSC Exam?
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Your answer
Select the course of interest
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B.Pharm
Pharm. D
Are there anyone of your family member or friends studying in our college? if yes mention their name.
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