LPCP | Lucknow Public College of Pharmacy

Admission Mode

Course

Name of Student (As per Xth) or Equivalent*

Mobile Number*

Email ID*

Aadhaar Number/Passport Number*

Date Of Birth*

Category*

EWS*

Yes

Gender*

Male

Female

Specially Abled

Yes

Blood Group*

Student Whatsapp Number (Optional)

Father's Name

Father's Mobile No. (If Any)

Father's Qualification

Father's Occupation

Father's Aadhar Number

Father's Email Id (If Any)

Mother's Name

Mother's Mobile No. (If Any)

Mother's Aadhar Number

Mother's Email ID (If Any)

Residential Address

City

State

Permanent Address

City

State

Admission Form