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Admission Enquiry Form for B.Pharmacy
Academic Year 2020-21
Four years full time course
Institute Choice Code : PH- 3464
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Name of The Student (Surname - Name-Middle Name-Mother Name)
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Your answer
Gender of student
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Male
Female
Category
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Open/General
SC
ST
OBC
DT
SEBC
NT
Other:
Date of Birth of Student
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MM
/
DD
/
YYYY
Course Choice
*
B. Pharm First Year ( After HSC)
B. Pharm Second Year (After D.Pharmacy )
HSC % (percentage)/Diploma % (percentage)
*
Your answer
Physics + Chemistry + Maths = Total Marks (only for admission to B. Pharm First Year ( After HSC) )
Your answer
Physics + Chemistry + Biology = Total Marks (only for admission to B. Pharm First Year ( After HSC) )
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SSC % (percentage)
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MH-CET Marks
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NEET
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Student's Contact Number
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Your answer
Student's Email id
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Your answer
Parent's Name
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Your answer
Parent's Contact Number
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Your answer
Residential Address
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Your answer
l declare that information provided by me is true.
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Yes
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Kindly post your query / queries about admission. ( if any)
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