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OMEGA COLLEGE OF PHARMACY

OMEGA COLLEGE OF PHARMACY. (Approved by PCI , AICTE & Affiliated to Osmania University,Hyderabad) Sy.No.-7, Edulabad (Village) Gharkesar (M), Ranga Reddy (Dt.) Email: omega.pharmacy.edulabad@gmail.com,

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OMEGA COLLEGE OF PHARMACY

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  1. OMEGA COLLEGE OF PHARMACY (Approved by PCI , AICTE & Affiliated to Osmania University,Hyderabad) Sy.No.-7, Edulabad (Village) Gharkesar (M), Ranga Reddy (Dt.) Email: omega.pharmacy.edulabad@gmail.com, Website: omegacollegeofpharmacy.com  - 9246805904, 9440127725 Estd:2007 Application for admission to B.pharmacy Programme under Management Quota(Category-B) for the academic year 2013-14 Branch in which admission is sought for : B.Pharmacy Photograph Entrance examination details: Academic details of the student: Personal details of the student: 1. Name of the student : (as per SSC) 2. Sex : 3.Date of Birth (as per SSC) : 4.Name of the parent / Guardian : 5. Name of the Mother : 6. Address for Communication : S/o. D/o. C/o : H.No. / Street : Village / Town : Mandal / District : State : Cell Phone No. :

  2. 7. Extra Curricular Activities : _____________________________________________ 8. Any other relevant information : _____________________________________________ Student’s Undertaking : I undertake to state that all the information furnished by me is true to the best of my knowledge. I acknowledge that any misrepresentation of information might lead to the disqualification of my admission. I shall abide by the rules and regulations of the college and also undertake not to indulge in any activity, which is restricted by the college. Signature of the student Parent’s Undertaking : I shall undertake the responsibility of good conduct and behavior of my ward during his / her stay at the college and shall pay tuition and other fee as and when demanded by the college. I also understand that as per university guidelines, a minimum attendance of 75% is essential for my ward to be allowed to write the university examinations. Signature of the Parent Indicate category by selecting the appropriate box FOR OFFICE USE ONLY Date of application : Branch : Note: Application forms may be submitted at the college office (or) may be sent by post (or) a scanned copy may be mailed to omega.pharmacy.edulabad@gmail.com.

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