Online Registration Form

Drag

Mandaotry Disclosure

Alumni

Call Us Now
+91-1666-240695
Email Address
lordshiva1@rediffmail.com

* Required fields

Student Information

Full Name of Student *

Date of Birth *

Place of Birth

Father/Guardian Information

Full Name *

Nationality

Occupation

Contact Information

State *

City *

Pin Code *

Email *

Mobile Number *

+91

Other Contact Number

Other

Course in which admission is desired *

I agree terms & conditions.
Note: Please register my son/daughter on your waiting list as per particulars given as above which I certify are true and correct. If my son/daughter is selected I agree to fully abide by the Rules and Regulations of the College, pay the fees etc. in advance and settle any other accounts promptly.

Established in 1983, Lord Shiva College of Pharmacy, Sirsa is a pioneering and leading institute in Northern India and offers D. Pharm., B. Pharm., M. Pharm., and PhD programmes.

Address Information

Call Us Now
+91-1666-240695
Email Address
lordshiva1@rediffmail.com
Address
Lord Shiva College of Pharmacy Near Civil Hospital, Sirsa-125055 (Hry)