Direct Second Year B. Pharm. Application Form

Application for Admission to  Direct Second Year of Four Year Degree Course in Pharmacy
VACANT SEATS (if any, after the CAP Rounds)

It is the Candidate's responsibility to insure that all the columns are correctly filled in
Incorrect entries / incomplete data may lead to the application form being rejected.

    Name of the Candidate:

    Gender: MaleFemaleOthers

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

    Particulars of Academic Record
    Std. X (SSC/ICSE/CBSE)

    Std. XII (HSC/CBSE/Any Other)

    Diploma in Pharmacy
    For open category students - Obtained atleast 45% marks
    For SC/ST/NT/DT/OBC/SBC Category students - Obtained atleast 40% marks

    Academic Record - First Year

    Academic Record - Second Year

    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/ University 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

    Leaving Certificate of College last attended

    Diploma Marksheet 1st year

    Diploma Marksheet 2nd year

    Diploma Passing Certificate

    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 to the Instruction Sheet for Documents to be submitted.

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