Alumni Registration Form
The Information provided will be kept confidential
Fields marked (*) are required
Name of the Alumni *
Gender *
Male
Female
Education Details @ CCPER
Degree *
B. Pharmacy
B.Pharmacy
M. Pharmacy
PHARM.D
Branch *
B.Pharmacy
B.Pharmacy A1
M Pharmacy - Pharmaceutics
M.Pharmacy Pharmaceutics (Drug Regulatory Affairs)
M.Pharmacy (Industrial Pharmacy)
M.Pharmacy (Pharmaceutical Analysis)
Doctor of Pharmacy
PPHARMD (Post Baccalaureate)
Year of Completion *
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Present Status
Employment Type *
Private
Govt
Self Employee
None Of Above(Unemployee)
Employment Details
Present Employer Name
Designation
Work Location
Special Achievements
Special Achievements after graduation
ADD
Higher Studies Details(If Any)
Present Status
University Name
Country
State
City
Present Residential Details
Country *
State *
City *
Phone 1(Office)
Phone 2(Residence)
Mobile *
Email ID *
Enter Numbers As Shown: