First Year D.Pharm Application Form

Application for Admission to First Year of Two Year Diploma Course in Pharmacy
INSTITUTE LEVEL / VACANT SEATS (if any, after the CAP Rounds)

Name of the Candidate:

Gender: MaleFemaleOthers

Category (If belonging to Reserved category, submit duly attested photocopies of necessary documents)

Particulars of Academic Record


Declaration to be signed by the Candidate:
The information given by me in this application is true to the best of my knowledge and belief. I understand that if any of the statements made by me in the application form or any information supplied by me in connection with my admission is found to be false or incorrect, later on at any time, my admission will be cancelled, fees forfeited and I may be expelled from the college by the Principal.

I have not been debarred from appearing at any examination held by any Government constituted or statutory examination authority in India.

I fully understand that the offer of a course will be made to me depending on my inter se merit and availability of a seat at the time of scrutiny of my application, when I actually will report to the admission authority according to the schedule of admission.

I am fully aware that the College Authorities will not make any correspondence with me regarding admission. I am also aware that it is entirely my responsibility to see the notices on the notice board of the college/website.

I fully understand that the fees to be paid are determined by the Fee Regulating Authority appointed by Govt. of Maharashtra and I will abide by the fee fixed by the committee.

Declaration to be signed by the Parent/ Guardian:
I declare that the particulars furnished by my son/daughter/ward in this application form are correct to the best of my knowledge and belief.

I undertake and abide myself to pay on behalf of my son/ daughter/ ward such fees, charges etc. which Government of Maharashtra/ MSBTE may levy from time to time by due date and in the event of failure on my part and/or on the part of my son/daughter/ward, the Principal of the College may take such action against my son/daughter/ward, as he may deem fit.

I agree to sign the requisite agreement bond as prescribed by the Government.

I agree to pay the fees as fixed by the Fee Regulating Authority of Govt. of Maharashtra

Documents to be uploaded (Mandatory)
S.S.C. Marksheet
H.S.C. Marksheet
Signature of Student
Junior College Leaving Certificate
Acknowledgement of Registration at Facilitation Centre

Additional Documents
Proof of Christian Minority (if applicable)
Domicile Certificate
Caste Certificate / Caste Validity Certificate / Valid Non-Creamy Layer Certificate (if applicable)
Note: Kindly refer the Instructions Sheet for the complete list of documents that have to be submitted.

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