Application for M.Pharm, Pharm.D(PB) 2022 - 2023

Semester Theory Practical Grand Total Reg. No. & Year Passed
Maximum Marks Marks Secured Maximum Marks Marks Secured Maximum Marks Marks Secured

I, .................................... do hereby declare that the particulars given in the application are true to the best of my knowledge and belief. If any of the particulars given by me in this application is proved fraudulent at any later stage of admission, I shall be liable for disciplinary action and my admission shall become null and void. I shall produce the originals of the certificates at the time of interview.I carefully read the prospectus thoroughly and I am ready to abide the terms and conditions mentioned in the Prospectus.

Signature of the Candidate