Personal Details
First Name*		Surname
Father's Name*		Email*
Mother's Name*		Date of Birth*
Place of Birth		Course you Applying for	Select Branch B.Pharma. D.Pharma M.Pharma
Address
House No.		City
State		Mobile 1*
Pin Code		Mobile 2
Gender	Gender Male Female Other	Category*	Select Gen OBC SC ST
Matriculation
Name of the Institution		% Marks Aggregate
Examining Authority		Attach File
10+2 or Equivalent
Name of the Institution		% Marks Aggregate	Only numeric
Examining Authority		PCB Marks%
PCM Marks%		Attach File
Upload Other Required Documents
Photo		Aadhar Card