Registration Form

1. Registration Details

*Mandatory fields
Mode of Admission*
Registration sought for*

2. Applicant's Personal Details
Applicant's full name *
Father's Name*
Mother's Name*
Gender*
Date of Birth* (dd-Mon-yyyy) / /
Category*

3. Contact Details
Mobile Number*
Email Address
Aadhar Card No.*

4. Address Details
Full Address*
State*
District*
Pin Code*

5. Qualifying Subjects
Physics Marks Chemistry Marks Biology/Math Marks

6. Educational / Qualification Details
S.No. Qualification Board/University Passing Year Marks Percentage
1. High School* 
2. Intermediate*
3. Graduation
Upload Photo*
( JPG,JPEG,GIF,PNG image with size upto 50 KB )

7. Declaration
I, hereby declare that the particulars submitted by me in the online application form of "Kamla Pharmacy College are true to the best of my knowledge and belief. I agree to abide by the rules and regulations of"Kamla Pharmacy College of Pharmacy and also to the decision of "Kamla Pharmacy College regarding any action. I will not held "Kamla Pharmacy College responsible for any damages.
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