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DRA D.Voc Registration Form 2021-22
KINDLY FILL ALL DETAILS AND FOR MORE INFORMATION CONTACH TO PROF.AMOL S.JAGDALE
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* Indicates required question
Email
*
Your email
NAME OF STUDENT:
*
Your answer
DATE OF BIRTH:
*
Your answer
GENDER
*
Female
Male
WHATS APP
MOB.NO
.:
*
Your answer
B. PHARM STATUS:
*
Completed
F.Y.B.Pharm
S.Y.B.Pharm
T.Y.B.Pharm
Final Y. B. Pharm
Not Applicable
Required
YEAR OF B.PHARM PASSING:
Your answer
M. PHARM COMPLETED:
*
Yes
No
YEAR OF M.PHARM PASSING:
Your answer
If not from Pharmacy discipline mention course completed.
*
Applicable
Not Applicable
COLLEGE/INSTITUTE NAME:
*
Your answer
IF WORKING IN INDUSTRY MENTION NAME,POST,ADDRESS:
Your answer
PERMANANT ADDRESS:
*
Your answer
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