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ASPM's KESHAVRAO PATIL INSTITUTE OF PHARMACY, DHARASHIV
ADMISSION ENQUIRY FORM
FOR FIRST YEAR D PHARM
COURSE IN PHARMACY FOR ACADEMIC YEAR 2024-2025
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ADMISSION OPEN
Name of Student (As Per HSC Mark-sheet)
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Your answer
Student Mobile No. ( Preferably Whatsapp)
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Your answer
E-Mail ID
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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
Catagory
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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)
Your answer
Marks/Percentage scored in HSC Exam?
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Your answer
Are there anyone of your family member or friends studying in our college? if yes mention their name.
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