DIVINE COLLEGE OF PHARMACY
ADMISSION FORM
Pathardei, P.O. & P.S.-Ziradei, Dist.- Siwan, Bihar, 841245
Approved by Pharmacy Council of India, New Delhi
Affiliated to Bihar University Health Sciences (BUHS), Patna
divinepharmacy2019@gmail.com |
82356080007/08
ADMISSION FORM
Session
Date of Birth
Full Name of Candidate
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Gender
Candidate's Mobile No.
Candidate's Whatsapp No.
Father's Name
Mother's Name
Father's Occupation
Nationality
Aadhaar No.
Migration No.
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D.Pharm
B.Pharm
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GEN
OBC
SC
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Category
Permanent Address
Village
P.O.
P.S.
District
State
Pin Code
Correspondence Address
Village
P.O.
P.S.
District
State
Pin Code
E-mail
Educational Qualification
Title of Degree/Qualification
Name of Board/University
Year of Passing
Roll No.
Major Subject
Overall Marks (%)
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Hostel
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Transport
Caste Certificate No.
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(₹ 1500)
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