Current and Ex-student Registration Form

The Department of Pharmacy, Rajshahi University has taken up a mammoth task to publish the student directory of this department. Students who have graduated from this department are required to fill out this form.

[FrontPage Save Results Component]

Please provide the following contact information:

Title

First Name

Last Name

Middle Initial

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

Mobile Phone

FAX

E-mail

URL

Father's Name

Mother's Name

Batch No.

Date of Birth

Sex Male Female

Roll Number (Honours)

B. Pharm Session (select 1st year)

Degrees Obtained (select recent)

Home Address: Village

P.S

P.O

District

Post Code

Title
First Name
Last Name
Middle Initial
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Mobile Phone
FAX
E-mail
URL

Father's Name
Mother's Name
Batch No.
Date of Birth
Sex	Male Female
Roll Number (Honours)
B. Pharm Session	(select 1st year)
Degrees Obtained	(select recent)
Home Address:	Village
	P.S
	P.O
	District
	Post Code

Current and Ex-student Registration Form

Copyright © 2012 by Pharmacy Department, Rajshahi University. All rights reserved. Revised: 01/28/12 22:35:28 -0000.

Copyright © 2012 by Pharmacy Department, Rajshahi University. All rights reserved.
Revised: 01/28/12 22:35:28 -0000.