Approved by Pharmacy Council of India, Govt. of India Affiliated to Dr. A.P.J. Abdul Kalam Technical University, BTE UP, Lucknow
— Admission Form —
Date
Name of Student
Email Address
Gender MaleFemaleOthers
Date of Birth
Select Category -- Choose Category --GeneralSCSTOBC Select Sub-Category -- Choose Sub-Category --PHDPNCCNone of the above
Father's Name Mother's Name
Student Contact No. Parent Contact No.
Address
Course of interest (for admission purpose) -- Choose Course --D. PharmB. PharmM. Pharm
Nationality Region -- Choose Region --U.P.Outside U.P.
GPA / %age in 12th Year of Passing
Additional Information (If Applicable)* : Name of Diploma / Degree
%age / CGPA in any other diploma / degree Graduated in which year
*Eligibility required as per Programmes as decided by the University.
