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Alumni Association H.S.K.College of Pharmacy, Bagalkot
Name [in Capital]* DOB [DD/MM/YYYY]:
Sex Qualification*
Year of Graduation: * Present position:
Residential Address E-mail:*
Phone (with STD code): Cell:*
Are you a member of Alumni association: Accommodation
YesNo RequiredNotRequired
No. of occupants
Male Female
Accommodation details
Aradhana/Anugraha    (Please follow the below Table) Dhanalaxmi

Accommodation details:
Lodge Single room Double room Double deluxe A.C
Aradhana/Anugraha ---------- Rs 450+4% tax Rs 575+4% tax Rs 840+4% tax
Dhanalaxmi Rs 230 Rs 320 Rs 480 Rs 800

1) Please pass on the information to your classmates/friends irrespective of your participation
2) For accommodation please send the DD in favor of Alumin association H SK College of Pharmacy payable at Bagalkot OR Online banking: Name of Bank account holder: Alumni Association H S K College of Pharmacy.
Bank: Corporation Bank; Account Number: 03170010104; Branch: Bagalkot; IFScode: Corp0000317
3) Address for correspondence Alumni Association H.S.K.College of Pharmacy, Bagalkot-587101, Phone: 08354-220008, Email: hskcop.bgk@gmail.com
4) For registration contact Dr.Laxman Vijapur Cell: 8105898479
5) For accommodation contact Dr.V.M.Chandrashekar Cell: 9880298342
6) Last date for registration 25/2/2014

Free Registration

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