Prestige Group of Colleges
PGC
Session, Inst., Dept., Program
Admission Academic Session
2021-2022
Institute: Department
BMIP: Department of Pharmacy
[Morning]
Institute
Bright Moon Institute of Pharmacy
Department
Department of Pharmacy
[Morning]
Program
Master of Pharmacy
Sign-up (Student)
*
=required
*
First Name
Middle Name(s)
Last Name
*
Gender
Male
Female
*
Date of Birth
*
Father's name
*
Mother's name
*
Country code - Mobile number
(Self)
---
AU (+61) Australia
CH (+41) Switzerland
DE (+49) Germany
DK (+45) Denmark
FI (+358) Finland
FR (+33) France
GB (+44) United Kingdom
HK (+852) Hong Kong
IL (+972) Israel
IN (+91) India
IT (+39) Italy
JP (+81) Japan
KR (+82) South Korea
MU (+230) Mauritius
MV (+960) Maldives
MY (+60) Malaysia
NL (+31) Netherlands
NO (+47) Norway
NP (+977) Nepal
NZ (+64) New Zealand
QA (+974) Qatar
SA (+966) Saudi Arabia
SG (+65) Singapore
TH (+66) Thailand
TW (+886) Taiwan
UAE (+971) United Arab Emirates
US (+1) United States of America
VN (+84) Vietnam
ZA (+27) South Africa
ZW (+263) Zimbabwe
*
Country code - Mobile number-
(Parent-1)
---
AU (+61) Australia
CH (+41) Switzerland
DE (+49) Germany
DK (+45) Denmark
FI (+358) Finland
FR (+33) France
GB (+44) United Kingdom
HK (+852) Hong Kong
IL (+972) Israel
IN (+91) India
IT (+39) Italy
JP (+81) Japan
KR (+82) South Korea
MU (+230) Mauritius
MV (+960) Maldives
MY (+60) Malaysia
NL (+31) Netherlands
NO (+47) Norway
NP (+977) Nepal
NZ (+64) New Zealand
QA (+974) Qatar
SA (+966) Saudi Arabia
SG (+65) Singapore
TH (+66) Thailand
TW (+886) Taiwan
UAE (+971) United Arab Emirates
US (+1) United States of America
VN (+84) Vietnam
ZA (+27) South Africa
ZW (+263) Zimbabwe
Country code - Mobile number-
(Parent-2)
---
AU (+61) Australia
CH (+41) Switzerland
DE (+49) Germany
DK (+45) Denmark
FI (+358) Finland
FR (+33) France
GB (+44) United Kingdom
HK (+852) Hong Kong
IL (+972) Israel
IN (+91) India
IT (+39) Italy
JP (+81) Japan
KR (+82) South Korea
MU (+230) Mauritius
MV (+960) Maldives
MY (+60) Malaysia
NL (+31) Netherlands
NO (+47) Norway
NP (+977) Nepal
NZ (+64) New Zealand
QA (+974) Qatar
SA (+966) Saudi Arabia
SG (+65) Singapore
TH (+66) Thailand
TW (+886) Taiwan
UAE (+971) United Arab Emirates
US (+1) United States of America
VN (+84) Vietnam
ZA (+27) South Africa
ZW (+263) Zimbabwe
Email
(Parent)
*
Permanent
Address
*
City
*
State
---
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu
Jharkhand
Karnataka
Kashmir
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
*
PIN
*
Comments:
(blood-group, Aadhar number, JEE/ NEET rank, etc)
*
Email
(Self)
*
Confirm Email
*
Password
*
Confirm Password
*
Agree to T&C.
Fill This h0neyp0t
Terms and Conditions
Terms and Conditions
