Admission Enquiry Form

STUDENT DETAILS

Name
Email
Mobile

Aadhar Number

Date of Birth

Gender
MaleFemale

Category

District

State

Pin
Residential Address

PARENTS DETAILS

Father's Name
Father's Occupation
Contact No.(Father)
Mother's Name
Mother's Occupation


QUALIFYING EXAMS

PCBPCMPCBM

10th EXAM DETAILS

Board/University
Roll Number
Maximum Marks
Marks Obtained
Percentage
Passing Year

12th EXAM DETAILS

Board/University
Roll Number
Maximum Marks
Marks Obtained
Percentage
Passing Year

D. PHARMA(LATER AL ENTRY) EXAM DETAILS

Board/University
Roll Number
Maximum Marks
Marks Obtained
Percentage
Passing Year

B. PHARMA(AGGREGATE) EXAM DETAILS

Board/University
Roll Number
Maximum Marks
Marks Obtained
Percentage
Passing Year