Application for Admission To B.Pharm Lateral Entry 2022 - 2023




Year Grand Total (Theory & Pratical)
Maximum Marks Marks Secured

*Please note that, atmost care has to taken while filling the total marks as the ranklist is prepared based on the total marks.





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