SBCP - AY 2026-27 - B.Pharm Lateral - Admission  Pre-Registration / Enquiry Form
Courses offered : D.Pharm, B.Pharm, M.Pharm & Ph.D
For Enquiry Contact :  04562 232088, Mobile: 9789682088, 
E.mail :- sbcp1988admission@gmail.com or  sbcollegeofpharmacy@gmail.com
Website : www.sbcollegeofpharmacy.com
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Email *
Student Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
AGE *
Student Mobile Number ( WhatsApp ) *
Parent Name *
Parent Mobile Number *
Address with Pincode *
Tauk *
District *
Community Category *
Year of Passing School Education *
2026
2025
2024
2023
2022
2021
Column 7
SSLC ( 10th )
Plus One ( 11th )
Plus Two ( 12th )
D.Pharm
HSC (+2) School Name and Place *
Medium in HSC (+2) *
Required
Board of exam in HSC (+2) *
SSLC Total Marks obtained ( 10th ) *
Plus One Total Marks obtained ( 11th )
Plus Two total marks ( 12th ) obtained *
D Pharm I Yr Marks obtained *
D Pharm II Yr Marks obtained *
D Pharm Total  Marks obtained *
D Pharm Percentage *
D Pharm - Month and Year of passing *
D Pharm - College Name & Place *
ODC Number and Date
PCI Registration Number and Date
PCI REISTRATION VALID UPTO
MM
/
DD
/
YYYY
ADMISSION SEEKING QUOTA
EMIS Number
AADHAAR Number
UMIS Number
Submit
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