Apply For Admission Fill-up The Application Form Carefully: D.Pharm Admission FormName of the ApplicantFather's NameFather's Contact No.Mother's NameMother's Contact No.Category- Select -GeneralSCSTOBC-AOBC-BPHDate of ApplicationObtained Marks Details:Name of the Examination (A)- Select -Madhyamik / Equivalent ExaminationHigher Secondary / Equivalent ExaminationBoard/UniversityYear of PassingFull MarksMarks Obtained% of MarksName of the Examination (B)- Select -Madhyamik / Equivalent ExaminationHigher Secondary / Equivalent ExaminationBoard/UniversityYear of PassingFull MarksMarks Obtained% of MarksWrite H.S. Marks (General subject along with Physics, Chemistry and Biology or Mathematics):SUB-01SUB-02SUB-03SUB-04SUB-05H.S. School NamePermanent Address:VillagePost OfficePolice StationDistrictStatePIN CodeCountryMailing Address:Email AddressNationalityDate of BirthGenderContact No.Aadhar Card No.WhatsApp No.Annual IncomeBlood GroupBlock/MunicipalityReligionBPL- Select -YesNoBanglar Shiksha Student IDUpload Recent Photo (Supported File Type: JPEG, JPG & PNG) )Choose Photo (<1MB) I have read and agree to the Terms and Conditions and Privacy PolicySubmit Form
