B V V S. Hanagal Shri Kumareshwara College of Pharmacy, Bagalkote 
ALUMNI MEET-2024
24/02/2024
For Registration details contact
1. Dr.Laxman S. Vijapur Cell no.9035608179/8105898479
2. Dr.Mallappa Shalavadi Cell no.7829631092/7795712512
3.Dr.Madhu Patil Cell no.8197824743
Email *
 Name *
University Registration Number  *
Date of Birth *
MM
/
DD
/
YYYY
Course *
Year of Graduation *
Present position with Address *
Residential Address *
Cell Number *
E-Mail *
Accompanying Person *
Number of Accompanying Person  *
Registration Fees : Rs 100.00
Account Details: Union Bank of  India
Account Name: Alumini Association Hangal Shri Kumareshwar College of Pharmacy
Account No. 520101238931982
IFSC: UBIN0903175
Branch: BVV Sangha Complex, Bagalkot
Note: 1. Payment details has to be uploaded 
           2. Registration fees Does not include accommodation
           
Captionless Image
UTR Number *
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms