KERALA STATE SELF FINANCING PHARMACY COLLEGE MANAGEMENT ASSOCIATION
Application for admission to B.PHARM 2019-2020
Application No. BPH190076
Course Applied For B.PHARM
Name in Block Letters USAMATH S
Sex Male
DOB 13-12-2000
Age 18
Name of Father SHOUKKATHALI S
Name of Mother RASHEEDA R
Religion
Muslim
Community / Cast
ISLAM
SC/ST
NO
Permanent Address USAMATH MANZIL KUNNICODE KUNNICODE P O KOLLAM KERALA 691508
Address for Communication USAMATH MANZIL KUNNICODE KUNNICODE P O KOLLAM KERALA 691508
Phone No. +919847651098
Mobile No. +919526293070
Email usamaths2020@gmail.com
Details of Qualifying Examination
H.S.E. or Equivalent, Specify HSE
University / Board
Reg. No., 6067388 Year & Month March 2019
Marks Obtained

Maximum Marks Marks Secured Percentage No. of Chances
Physics 200 142 71 1
Chemistry 200 171 85.5 1
Biology 200 174 87 1
Mathematics 200 122 61 1
Computer Science 200 0 0
Biotechnology 200 0 0
Total Marks 800 609 76.1
Annual Income of the Family 36000
If the candidate is claiming any reservation or other benefits, furnish details

Application Fee Details

Rs. 1000
DD No Date
Bank