Admission Enquiry Form for B.Pharmacy
Academic Year 2020-21
Four years full time course
Institute Choice Code : PH- 3464
Name of The Student (Surname - Name-Middle Name-Mother Name) *
Gender of student *
Category *
Date of Birth of Student *
MM
/
DD
/
YYYY
Course Choice *
HSC % (percentage)/Diploma % (percentage) *
Physics + Chemistry + Maths = Total Marks (only for admission to B. Pharm First Year ( After HSC) )
Physics + Chemistry + Biology = Total Marks (only for admission to B. Pharm First Year ( After HSC) )
SSC % (percentage) *
MH-CET Marks
NEET
Student's Contact Number *
Student's Email id *
Parent's Name *
Parent's Contact Number *
Residential Address *
l declare that information provided by me is true. *
Required
Kindly post your query / queries about admission. ( if any)
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