KERALA STATE SELF FINANCING PHARMACY COLLEGE MANAGEMENT ASSOCIATION
Application for admission to B.PHARM 2019-2020
Application No. BPH190069
Course Applied For B.PHARM
Name in Block Letters MERIN M KURUVILA
Sex Female
DOB 20-02-2001
Age 17
Name of Father KURUVILA MATHEW
Name of Mother SHEEBA MATHEW
Religion
Christian
Community / Cast
ORTHODOX
SC/ST
NO
Permanent Address MOOTHEDATHU KIZHAKKETHIL
CHERIYANAD P O
CHENGANNUR
ALAPPUZHA
PIN 689511
Address for Communication MOOTHEDATHU KIZHAKKETHIL
CHERIYANAD P O
CHENGANNUR
ALAPPUZHA
PIN 689511
Phone No.
Mobile No. +919497699316
Email merinmkuruvila@gmail.com
Details of Qualifying Examination
H.S.E. or Equivalent, Specify HSE
University / Board HSE
Reg. No., Year & Month
Marks Obtained

Maximum Marks Marks Secured Percentage No. of Chances
Physics 200 166 83 1
Chemistry 200 180 90 1
Biology 200 188 94 1
Mathematics 200 160 80 1
Computer Science 200 0 0
Biotechnology 200 0 0
Total Marks 800 694 86.8
Annual Income of the Family 48000
If the candidate is claiming any reservation or other benefits, furnish details

Application Fee Details

Rs. 1000
DD No 006086 Date 31/05/2019
Bank federal bank