Applicant Details
Choose Your Course
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D. Pharmacy
Applicant Name (As Per Certificate)
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Applicant Father's Name
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Applicant Mother's Name
Name Of Guardian (In Absence Of Parents)
Applicant Permanent Address
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Address
District
PIN
Applicant Present Address
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Address
District
PIN
Applicant Mobile Number
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Applicant WhatsApp Number
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Applicant Email ID
Guardian Mobile Number
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Guardian WhatsApp Number
Guardian Email ID
Applicant Date Of Birth
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DD slash MM slash YYYY
Nationality
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Religion
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Gender
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Male
Female
Category
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SC
ST
OBC-A
OBC-B
PH
GENERAL
Marital Status
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Select Status
Unmarried
Married
Divorced
Widowed
Language Known
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Academic Qualification Record
10th Standard
Board
Institute Name
Year Of Passing
Subjects
Full Marks
Marks Obtained
% Of Marks
10+2 Standard
Council
Institute Name
Year Of Passing
Subjects
Full Marks
Marks Obtained
% Of Marks
% Of Marks Without 4th Subject (Best Of Five)
Others
University
Institute Name
Year Of Passing
Subjects
Full Marks
Marks Obtained
% Of Marks
Declaration Of Student
I HEREBY DECLARE THAT THE PARTICULAR GIVEN ABOVE ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF
DOCUMENTS TO BE SUBMITTED
10th Marksheet
12th Marksheet
Transfer Certificate From Last Studied Institution
Identity Proofs (Aadhar Card Xerox Copy)
Migration Certificate From The Higher Secondary Board
2 photocopies of all above certificates
5 Passport Size & 2 Stamp Size Recent Colour Photograph
COLLEGE BANK DETAILS
Account Holder Name : Srinivasa college of pharmacy
Bank Name :
IFSC :
Account Number :