REGISTRATION FORM

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REGISTRATION FORM

L.M. College of Pharmacy Alumni Registration Form

Email *

Full Name *

Present Address *

Country you are presently Residing *

Mobile No. *

Present Work Address *

Degree Earned and Year of Passing

Answer Relevant Questions

Year of Passing D. Pharm

Year of Passing B. Pharm

Year of Passing M. Pharm

Year of Passing Ph.D

Year of Passing Pharm.D

Your Present Status

Designation *

Organisation you are working

Your Office Address

Your Expertise Area *

Are you a registered member of LMCP Alumni Association and Research Society *

Yes

Maybe

Type of Member

Patron

Life Member

Ordinary Member

Donor

Clear selection

A copy of your responses will be emailed to the address you provided.

Submit

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