Registration Form 2023-24

REGISTRATION APPLICATION FORM FOR COURSE

1. Registration Details

*Mandatory fields

Mode of Admission*

Registration sought for*

2. Applicant's Personal Details

Applicant's full name *

( Full name as per the highest / latest qualification certificate or legal certificate )

Father's Name*

( Full Name As Per Educational/Legal Certificate )

Mother's Name*

( Full Name As Per Educational/Legal Certificate )

Gender*

Date of Birth* (dd-Mon-yyyy)

/ / ( As per high school certificate in 'dd-Mon-yyyy' format. i.e. '01-Jan-1990' )

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 S.N. College of Pharmacy are true to the best of my knowledge and belief. I agree to abide by the rules and regulations of S.N. College of Pharmacy and also to the decision of S.N. College of Pharmacy regarding any action. I will not held S.N. College of Pharmacy responsible for any damages.

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1. Registration Details

2. Applicant's Personal Details

3. Contact Details

4. Address Details

5. Qualifying Subjects

6. Educational / Qualification Details

7. Declaration

9634063204

sncpjnp@gmail.com

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