SBSF COLLEGE OF PHARMACY APPLICATION FROM

EnquirySurvey

How do you hear about us ?* :

Specify Name or Others* :

Step 1Admission Details

Course * :

Academic Session * :

Quota * :

Step 2Personal Details

Name of Applicant *:

Gender. *:

Date of Birth *:

Age :

years

Marital Status *:

Name of Spouse * :

Category(Caste) * :

Religion *:

Nationality * :

Blood Group :

Differently Abled :

Differently Abled Category :

Father's Name *:

Mother's Name *:

Guardian Name *:

Aadhaar No/UIDAI *

Step 3Present Address

Village/Town/City * :

Post Office Name * :

District Name * :

State* :

Pincode * :

Step 4Permanent Address

Check If Same as Present.

Village/Town/City * :

Post Office Name * :

District Name * :

State* :

Pincode * :

Step 5Contact Details

Student Mobile No * :

Student Whatsapp No * :

Student Email ID * :

Guardian Mobile No * :

Guardian Email ID * :

Step 6Academic Record

Examination passed *:

Board/University *:

Institute/School/College *:

Year of Passing *:

Subject Taken *:

Total Marks *:

Marks Obtained *:

Percentage(%) *:

Click here to Add Education details

id Examination passed Board/University Institution Year of Passing Subject Taken Total Marks Marks Obtained Percentage(%) #

Step 7Marks obtained in Higher Secondary Education(10+2)

Chemistry Physics Biology OR Math

Total Marks Obtain Marks Total Marks Obtain Marks Total Marks Obtain Marks Total Marks Obtain Marks

Step 8Entrance Exam Passed Details

Name of the Entrance Exam Passed :

Rank :

Step 9Upload Image And Signature

Photo and Signature Details :

Photo Upload:* :

Passport Size Color photo 4.5cm * 3.5 cm. Note: Upload image to be less than 200Kb(Scan to be done on 100dpi only)

Signature Upload:* :

Note: Upload Signature to be less than 200Kb(Scan to be done on 100dpi only)

Guardian Signature Upload:* :

Note: Upload Signature to be less than 200Kb(Scan to be done on 100dpi only)

Step 10Upload Attachments

Note: Cast (other than General)and Disablity certificate only upload if any or Applicable.

Upload only PDF File of your documents(Per document size must be less than 2MB).

Step 11Declaration

Declaration by the Applicant
I hereby declared that entries made in his form are true in all respects and in case of any entry or information found false, this shall entail automatic cancellation from admission besides rendering me liable to such an action as the university may deem proper. I declare that I shall submit myself to disciplinary jurisdiction of the university and the principal of the college. I further note that my admission to the college / university and my continuance on its rolls are subject to the provision of the university statutes, audiences and other rules and instructions which may issues from time to time. I shall abide by the rules of discipline and proper conduct which maybe framed on this regard.

Declaration by Guardian / Parent
I have gone through the statement and information give in the application from by my word and whose photograph appears on this form are correct and I do hereby declare that I shall hold responsibility for the regular attendance, conduct and behavior of my ward during the tenure of his / her study in the college / university.

Step 12Rules & Regulations

Disruption of, or improper interference with the academic, administrative, sporting, social, or any other activities of the College, within the College premises or elsewhere.

Ragging inside or outside college premises (Refer to the Anti-Ragging Regulations as per UGC Guideline and abide by those, failing which the students are liable to be prosecuted and also be punished accordingly).

All the labs follow certain safety and academic norms for smooth functioning. Students are advised to keep themselves updated on those norms and follow them accordingly.

Use of mobile phones in the classrooms, library, laboratory, workshop area, and others is strictly prohibited. If a student is found to be guilty of using a cell phone in the above-mentioned areas, the same will be withheld.

Every student is expected to carry his / her Photo Identity Card while entering the campus. A student is expected to show the Identity Card at any point in time whenever asked for.

75% attendance is mandatory in theoretical and practical classes.

A fine of Rs. 10/- per day will be charged after the due date of payment.

Students must help keep the campus neat and clean and also preserve and maintain the greeneries. Eatables/beverages are not allowed inside the study areas including Laboratories and Libraries. Students should have their Tiffin inside the canteen/cafeteria or, classroom. Smoking is strictly prohibited inside the university campus.

Declaration of Compliance

I do hereby solemnly and sincerely declare that I shall abide by all the provisions enumerated by SBSF COLLEGE OF PHARMACY. In case of any misdeed, misconduct, an aberration from my end, I stand liable to be punished as per the rules and regulations of this College.

I have read and agree to the declaration.

Application form for admission B.Pharm/D.Pharm

Important

Chemistry		Physics		Biology		OR	Math
Total Marks	Obtain Marks	Total Marks	Obtain Marks	Total Marks	Obtain Marks		Total Marks	Obtain Marks