Section 1: Personal Details
First Name*
Surname*
Father's Name
Mother's Name
Email*
DOB*
Place of Birth
Gender
Male
Female
Other
Course*
Select
B.Pharm
D.Pharm
M.Pharm
Section 2: Address & Contact Details
House No
City
State
Pin Code
Phone 1*
Phone 2
Category
Select Category
General
OBC
SC (Scheduled Caste)
ST (Scheduled Tribe)
EWS (Economically Weaker Section)
Minority
Section 3: Academic Details (Matric + 10+2)
Matriculation (Class 10)
Institution
Marks
Exam Authority
Upload File
10+2 (Intermediate)
Institution
Marks
Exam Authority
PCB
PCM
Upload File
Section 4: Document Uploads
Photo
Aadhar Card
Reset
Submit Admission