Pharmacy Admission - IVM

9.00 am to 5.00 pm

Form No : 1

Academic Details

School Name *

Class *

Section *

Nationality *

Admission Date *

Category *

Social Category *

Admission Type *

Student Details

First Name *

Middle Name *

Last Name *

Student Mobile No *

Student Email *

Birthday *

Age *

Gender *

Blood Group *

Mother Tongue *

Religion *

Caste *

Address Details

Present Address *

City / Tal *

District *

State *

Pin Code *

Permanent Address * / Same as Present

City / Tal *

District *

State *

Pin Code *

Other Details

Student Photo *

Choose Photo file...

Student signature

Choose Photo file...

Previous School Details

School / College Name *

Qualification *

Guardian Details

Guardian Name *

Relation *

Father Name *

Mother Name *

Occupation

Income *

Education

Guardian Email

Guardian Mobile No *

Guardian Address *

Guardian Photo

Choose Guardian Photo...

Upload Documents

Upload Documents *

Choose file...