KERALA STATE SELF FINANCING PHARMACY COLLEGE MANAGEMENT ASSOCIATION
Application for admission to B.PHARM 2019-2020
Application No. BPH190111
Course Applied For B.PHARM
Name in Block Letters POOJA R
Sex Female
DOB 14-07-2001
Age 17
Name of Father K RAJENDRAN PILLAI
Name of Mother RAJI G
Religion
Hindu
Community / Cast
NAIR
SC/ST
NO
Permanent Address MAHDEVA BHAVANAM,
INCHAKKADU
KAKKAKUNNU P O
KOLLAM
Address for Communication MAHDEVA BHAVANAM,
INCHAKKADU
KAKKAKUNNU P O
KOLLAM
Phone No.
Mobile No. +919947643948
Email poojavishal96@gmail.com
Details of Qualifying Examination
H.S.E. or Equivalent, Specify HSE
University / Board HSE
Reg. No., 6049427 Year & Month March 2019
Marks Obtained

Maximum Marks Marks Secured Percentage No. of Chances
Physics 200 161 80.5 1
Chemistry 200 168 84 1
Biology 200 176 88 1
Mathematics 200 160 80 1
Computer Science 200 0 0
Biotechnology 200 0 0
Total Marks 800 665 83.1
Annual Income of the Family 127000
If the candidate is claiming any reservation or other benefits, furnish details NCC B Certificate Holder ARMY Person (Father)

Application Fee Details

Rs. 1000
DD No 268384 Date 07/06/2019
Bank FEDERAL BANK, KALLISSERY