JHIP- Enquiry Form
To Get Admission In Jakir Hossain Institute of Pharmacy (Raghunathganj, Murshidabad, W.B.) For B.Pharm/D.Pharm Or Any Query, Fill This Form. Or Visit Our College Website.
Sign in to Google to save your progress. Learn more
Email *
Candidate Name *
Candidate Address
Candidate Mobile No.
*
Mobile Number Is In 10 Digits ( Like: 9XXXXXXXX0)
Alternate (Guardian) Mobile No.
Query To Admission In *
Madhyamik/Secondary/10'th Pass-out Year *
Higher Secondary/12'th Pass-out Year With Board
*
Year-Board Name (Like: 2020-WBCHSE)
Higher Secondary/12'th Pass-out Percentage
*
Reference Name
*
Write The Name From Where You Get The Information (Like: Facebook/Newspaper/Person Name/Banner)
Put Your Query Here
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy