Admission Application Form KLESCOPH
D.Pharm/B.Pharm/M.Pharm/Pharm.D
Email address *
Admission required for the course *
Required
Name of the Student (As in SSLC Records) *
Father's Name *
Mother's Name *
Address in Full *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Religion/Caste *
Category (SC/ST/OBC/GM/Others) *
Subjects studied in PUC/10+2 *
Year of Passing PUC/10+2 *
Percentage in PCB/PCM/PCMB *
Submit
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