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Admission Application Form KLE COP Bengaluru
D.Pharm/B.Pharm/M.Pharm/Pharm.D
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Email
*
Your email
Name of the Student (As in SSLC Records)
*
Your answer
Father's Name
*
Your answer
Mother's Name
*
Your answer
Address in Full
*
Your answer
Phone Number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Religion/Caste
*
Your answer
Category (SC/ST/OBC/GM/Others)
*
Your answer
Subjects studied in PUC/10+2
*
Your answer
Year of Passing PUC/10+2
*
Your answer
Percentage in PCB/PCM/PCMB
*
Your answer
Courses You are Applying
*
D.Pharm
B.Pharm
M.Pharm
Pharm.D
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