College Name*-- Choose College --College of NursingCollege of Pharmaceutical Sciences
Name*
Father's Name*
Mother's Name*
Date of Birth*
Age*
Gender*MaleFemale
Select A Religion*-- Choose your Religion --HinduChristianMuslimOther
Please Specify Your Religion*
Community*
Whether He / She is a first graduate?*YesNo
Address*
Contact No*
Email If any*
How Do You Know About Our College*-- Choose your Source--a) Newspaper Advertisementsb) Television advertisementsc) Google / Whatsapp / Instagram/ Linkedind) Texcity Alumnie) Schoolf) Others
Please Specify How Do You Know About Our College*
Course Preferred*-- Choose your Course --B.SC,DGNM,M.Sc,
Month & Year of passing higher secondary examination*
Higher Secondary Group*
Marks obtained in the individual subject in HSC*
Total Percentage in Phy, Che, Bio, English*
Name of the U.G Degree*
Month & Year of Passing*
Name of the University*
Date of RN.RM Registration*
Years of Experience after U.G Degree*
Course Name*-- Choose your Course --D.Pharm