SKCPRC Sree Krishna College of Pharmacy & Research Center

Application for Admission 2019

Apply For

Pharm.D
B.Pharm
Pharm.D (PB)
M.Pharm
B.Pharm (Lateral Entry)

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Name of the Candidate as in SSLC Record
(In Block Letters)

Phone No

Age

Date of Birth

Gender

Nationality

Religion

Caste

Name of Father

Name of Mother

Occupation & Annual Income (Father/Mother)

Permanent Address

Address for Communication

Hostel Required

DD Number

Exam Passed	Name of the Board/University	Year of Passing	Class obtained & attempt of passing	Medium of instruction	% of marks obtained in aggregate of all subjects
SSLC/Equivalent
10+2/Equivalent
D.Pharm

1st Year (D Pharm)	2nd Year (D Pharm)	Max Mark	Scored	Percentage

2nd B Pharm	3rd B Pharm	4th B Pharm	Percentage

1st B Pharm	2nd B Pharm	3rd B Pharm	4th B Pharm	Percentage

APPLICATION FEE

B PHARM & B PHARM(lateral entry)-Rs 1300

PHARM D & PHARM D(PB)-Rs 2000

M PHARM-Rs 2000

Please take DD for the amount in the name of college payable at parassala.

Application without application fee is liable to be rejected.

Please enter the number of DD at the space provided in the application.