Shri Ram College of Pharmacy

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9415067926

shriramcollegeofpharmecy@gmail.com

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Shri Ram College of Pharmacy

Kanpur

9415067926

shriramcollegeofpharmecy@gmail.com

Online Admission

Basic Information:

Name *

Birth Date *

Gender *

Blood Group

Religion

Caste

Email

Phone *

National ID

Health Condition

Photo

Image file format: .jpg, .jpeg, .png or .gif

Academic Information:

Student Type

Class *

Group

Second Language

Father Information:

Father Name

Father Phone

Father Education

Father Profession

Father Designation

Mother Information:

Mother Name

Mother Phone

Mother Education

Mother Profession

Mother Designation

Guardian Information:

Is Guardian?*

Phone*

Relation With Guardian

Name*

Email*

National ID

Profession

Religion

Other Info

Present Address

Permanent Address

Address Information: Same as Guarduan Address

Present Address

Permanent Address

Previous School:

School Name

Class

Admission Form