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VIVA INSTITUTE OF PHARMACY
ADMISSION ENQUIRY FOR FIRST YEAR B.PHARMACY (A.Y.2021-22)
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Email
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DATE
MM
/
DD
/
YYYY
NAME OF STUDENT
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ADDRESS
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CONTACT NO.
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HSC (%)
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PCM
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PCB
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CET (%)
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PASSING YEAR
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NAME OF BOARD/ UNIVERSITY
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GENDER
Male
Female
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CATEGORY
OPEN
OBC
ST
SC
NT
DT/VJ
SBC
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OMS (Out of Maharashtra)
YES
No
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REFERENCE
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