R.G. Group of Education
Mamauta Khurd, Near Manglaytan Mandir,
Hanuman Chowki, Agra Road,
Sasni (Hathras)
Website :
http://rgpharmacy.com/
Registration Form
Course applied for :
BPharm
BPharm - Lateral Entry
DPharm
B.Sc NURSING
GNM-Allopathy
DPharm-Ayurvedic
Nursing-Ayurvedic
Personal Details
Name of the Student :
Father's Name :
Mother's Name:
Gender :
Male
Female
Other
Date of Birth :
Address:
Registered Mobile No. (With WhatsApp):
Other Mobile / Phone No.:
Email Address:
Academic Qualification
S.No.
Examination Passed
Subjects
Year
Percentage
Board
1
2