Online Registration Form
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Personal Details
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DDC-IP (Pharmacy)
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2019-20
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Academic Information
High School (10
th
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High School Board/University
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Intermediate (12
th
) Information
Intermediate Board/University
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Intermediate Marks Obtained
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Diploma / Graduation Information
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DIPLOMA
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B.TECH.
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B.B.A.
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Graduation Board/University
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CSJM UNIVERSITY,KANPUR
AKTU,LUCKNOW
BOARD OF TECHNICAL EDUCATION,UTTAR PRADESH
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Contact Information
Email (if available)
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Residence Address
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City
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State
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Pin Code
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Following documents are required in college office with this Online Registration Form :
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High School Marksheet & Certificate
Intermediate Marksheet & Certificate
Graduation (If Applicable) Marksheet & Certificate
Gap Certificate (If Applicable)
TC / Migration Certificate
Caste,Income,Domicile Certificate(as applicable)
Aadhaar card of candidate,parents & 5 photos of student
Character Certificate issued from previous institution
Affidavit
I confirm that the I have verified my information entered above & the information is correct & true to the best of my knowledge :
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ONLINE (DEBIT CARD / CREDIT CARD / NETBANKING
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Disclaimer :
This application is for filling of required information for registration for admission. Your application will be considered only after submission of all necessary documents & full fees. Confirmation of admission is subject to availability of seats.