SHREE DEVI COLLEGE OF PHARMACY
(Affiliated to Rajiv Gandhi University of Health Sciences, Bangalore & Approved / Recognised by A.I.C.T.E. & P.C.I)
Application for Admission to B. Pharm / M. Pharm / Pharm D Course
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Name of the candidate in full (block letters) to be entered as found in the certificate of the qualifying examination. *
Permanent address of father or guardian *
Telephone Number *
Email Address *
Date of Birth (In Christian era) *
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Name and Address of the School (SSLC / Matric)
Name of the Board / University (SSLC / Matric)
No. of attempts for passing (SSLC / Matric)
Percentage and class in which passed (SSLC / Matric)
Year of Passing (SSLC / Matric)
Name and Address of the School (PUC / (10+2) or Equivalent Examination)
Name of the Board / University (PUC / (10+2) or Equivalent Examination)
No. of attempts for passing (PUC / (10+2) or Equivalent Examination)
Percentage and class in which passed (PUC / (10+2) or Equivalent Examination)
Year of Passing (PUC / (10+2) or Equivalent Examination)
Name and Address of the School / College (Degree Examination)
Name of the Board / University (Degree Examination)
No. of attempts for passing (Degree Examination)
Percentage and class in which passed (Degree Examination)
Year of Passing (Degree Examination)
Total marks obtained and percentage of marks secured in aggregate of Physics, Chemistry and Mathematics or Physics, Chemistry and Biology or Physics, Chemistry and Computer Science/Electronics / Bio-Technology – upto two decimal points including Practical Marks.
M. Pharm
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