Apply for Management Pharmacy Under B Category Seats(2019-20)

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Admission Form

Name *
Father/ Guardian Name *
Branch Admitted *
Gender* Male Female
SSC HallTicket Number
SSC HallTicket Number invalid SSC HallTicket Number is correct
SSC Qualifing Board
SSC Month & Year Pass -

Date of Birth *

Whether belongs to NRI Quota Yes No
JEE Mains HallTicket Number
JEE Mains Rank
EMCET HallTicket Number
EMCET Rank
Intermediate HallTicket Number
Intermediate qualifing Board
Intermediate Month & Year Pass -
% of marks obtain in intermediate(Aggregate)
% of marks obtain in intermediate(Group)
Caste
State to Which Candidate Belongs