Technocrats Institute of Technology

TIT Group of Institutions, Bhopal

Anand Nagar, BHEL, Bhopal-21
E-mail : admission@titbhopal.net; website : www.titbhopal.net
Admission Enquiry : 0755 - 2805101,2805102


M. Pharma Online Registration Form (2012-2013)

( * ) All these fields are mandatory.

Course * M. Pharma
Branch Preference *  First Pref.      Second Pref.      Third Pref.  
Domicile* M.P.    AI
Category*
Examination * GPAT     Non GPAT    Sponsored     GPAT Percentile  (e.g. 83.68)
Qualifying Examination B. Pharma    Percent  (e.g. 83.68)
Applicant's Name [ In Capital letters ] :-
First Name * Last Name *
Father's Name * Mother's Name
Gender * Male    Female E-mail Id
Date of Birth *
     
Religion Caste
 
Permanent Address *  
Phone No. (with STD code) Mobile No. *
 
if same as Permanent address
 
Present Address *  
Phone No. (with STD code) Mobile No. *
S.N. Name of Examination Subject / Branch Board/Name of the Institution/University Year of Passing Percentage of Marks Division Remarks
1 10th*
2 12th*
3 B.Pharma