Jain Pharmacy College Of Education An ultimate place for education

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Registration Form for Admission to B.T.C. 2021-23

Name	*
Gender
Category
Father's Name	*
Mother's Name	*
Date of Birth	*
Birth Place	*
Address	*
Phone Number	* Phone Number must be of 10 digits

Qualification	Year of Passing	Marks	Max Marks	Percentage	Name of Institution	Board/University
10th	*	*	*	*	*	*
12th	*	*	*	*	*	*
Graduation	*	*	*	*	*	*