SRI SHANMUGHA COLLEGE OF PHARMACY
Student Name:
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Father's Name:
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Mother’s Name:
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Mobile No:
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Email:
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Date of Birth:
Date of Birth:
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DD
/
MM
YYYY
Roll Number
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Course:
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B.Pharm
D.Pharm
Year of Joining
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2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Year
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I
II
III
IV
Payment Category:
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Tuition Fee
Hostel Fee
Bus Fee
Exam Fee
Registration Fee
Book Fee
Uniform Fee
Caution Deposit Fee
Industrial Visit Fee
ID Card Fee
Breakage Fee
Value Added Course Fee
Hospital Training Fee
Other
Remarks:
Fee Payment
Fee Head
Amount
Total
Fee
*
*
Note:
FILL THE PARTICULARS CORRECTLY BEFORE MAKING PAYMENT. TAKE A PRINTOUT OF PAYMET FOR FUTURE REFERENCE.
FOR FURTHER CLARIFICATION CONTACT COLLEGE OFFICE TELEPHONE NUMBER 04283262999,04283262996