COURSE
D.Pharm
B.Pharm
B.Pharm-Lateral Entry
PERSONAL INFORMATION
CANDIDATE NAME
FATHER'S NAME
DATE OF BIRTH
MOTHER'S NAME
CASTE
GENERAL
O.B.C
S.C.
S.T.
MINORITY
NATIONALITY
SUB CASTE
RELIGION
GENDER
MALE
FEMALE
TRANSGENDER
MARITAL STATUS
MARRIED
UN-MARRIED
GUARDIAN'S MOBILE NUMBER
CANDIDATE MOBILE NO.
AADHAR NUMBER
EMAIL ID
PRESENT ADDRESS:
ADDRESS LINE 1
ADDRESS LINE 2
CITY
DISTRICT
STATE
POSTAL CODE
COUNTRY
PERMANENT ADDRESS:
ADDRESS LINE 1
ADDRESS LINE 2
CITY
DISTRICT
STATE
POSTAL CODE
COUNTRY
ACADEMIC DETAILS
EXAMINATION
YEAR OF PASSING
SCHOOL/BOARD/UNIVERSITY
MAX. MARKS
MARKS OBTAINED
% OF MARKS
10TH
12TH
GRADUATE
OTHER