RKP College of Pharmacy

Form to Be filled in English only
Fields Marked by (*) are Mandatory.
Create an Email account if you already don`t have one.
You must give your mobile Number in basic detail. if you don't have a mobile number, Please enter your Father's mobile number.
The Photograph should be formal.

Class *

First Name *

Last Name *

Gender

Date of Birth

Mobile Number

Father Name *

Father Phone *

Father Occupation *

Mother Name *

Mother Occupation *

If Guardian Is *

Father

Mother

Other

Guardian Name *

Guardian Relation *

Guardian Email

Guardian Photo

Guardian Phone

Guardian Occupation

Guardian Address

Permanent Address

Previous School Details

Documents (To Upload Multiple Document Compress It In A Single File Then Upload It -)

Online Admission