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HOLY QUEEN COLLEGE

Email: holyqueencollege@gmail.com,  Phone: 7356919634 / 8882060651 / 9074919634

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Application Form
HOLY QUEEN COLLEGE

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Declaration By the Applicant

Myself {text-1} do declare that, the details mentioned in this application are true , I will abide the rules and regulations of “Holy Queen College of Pharmaceutical Sciences and Research” and I will not do anything by any means which destroy the goodwill of the Institution I am studying. If I violate this declaration ,Institution authority can take any action including expulsion from the Institution.

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Declaration By the Guardian/Parent of Applicant

Myself {text-6} Guardian of {text-1} residing at do declare that, the details mentioned in this application are true , I solemnly affirm that  Will abide the rules and regulations of “Holy Queen College of Pharmaceutical Sciences and Research” and He/She will not do anything by any means which destroy the goodwill of the Institution in which he/ she is studying. If my ward violate this declaration ,Institution authority can take any action including expulsion from the Institution.

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Name of Student:
Name of course admitted:
Academic Year Admitted:
Date of Admission:
Admission category:

Name & Sign of Principal with date and seal

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Holy Queen College of Pharmaceutical Sciences and Research
Puthuruthy P O, Wadakkanchery Municipality,
Thrissur - 680 623, Kerala
Opening Time : 9.30am to 5.30pm

Email: holyqueencollege@gmail.com
Phone: 7356919634 / 8882060651 / 9074919634

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