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Apply To Admission

Basic Informatons - Step 1 of 6

Name of Candidate *

Father's/Husband's Name *

Mother's Name *

Date of Birth *

Marital Status

• Married
• Unmarried

Sex *

• Male
• Female
• Transgender

Nationality *

Caste *

Category *GeneralBC-ABC-BSC

Aadhar No. *

Parental Income from All Sources *

Next

Parent's Phone No. *

Student's Phone No. *

Pin No. *

Email *

Area to which you belong *

• Urban
• Rural

Pin No.

Residence of Haryana *

• Yes
• No

Correspondence Address

Permanent Address

Applying for CourseDiploma Pharmacy

Next

Board *

Year *

Roll No. *

Enroll No. Reg. No. *

Obt. Marks *

Max Marks *

Percentage *

Subject *

Next

Board *

Year *

Roll No. *

Enroll No. Reg. No. *

Obt. Marks *

Max Marks *

Percentage *

Subject *

Next

Board *

Year *

Roll No. *

Enroll No. Reg. No. *

Obt. Marks *

Max Marks *

Percentage *

Subject *

Next

Upload Photo

Upload Signature

Upload Aadhar Card

Upload matric Certificate

No file chosen Upload 10+2 Certificate

No file chosen Upload caste Certificate (If Required)

Submit