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S.D. College of Pharmacy & Vocational Studies

Bhopa Road, Muzaffarnagar, Contact No. 8937095011, 8937095027

ONLINE ADMISSION REGISTRATION FORM

All fields marked * are compulsary to fill, otherwise your form may be rejected.

Select Course APPLIED *    
Student Full Name*    
Father's Name *    
Mother's Name *    
Permanent Address *    
Mobile No. *    
Date of Birth (dd/mm/yyyy)*    
E-Mail    
Gender*    
Category*    
For D.Pharm./B.Pharm. Admission:
Qualifying % marks of 10+2 in PCB / PCM (Leave Blank for M.Pharm.) 		(OR write Result Awaited)    
Upload Photo (200 X 200) * only JPG/JPEG
EDUCATIONAL QUALIFICATION  
Name of Exam Board/University * School/College * % of Marks * (OR Write Result Awaited) Passing Year* Subject*
High School (10th) *
Intermediate (12th) *
D.Pharm. (for Admission in B.Pharm. Lateral Entry)
B.Pharm. (for Admission in M.Pharm.)