Mahadeva Lal Schroff College of Pharmacy

Admission Form

Mahadeva Lal Schroff College of Pharmacy

SESSION 2022-2023

Name of Applicant*

Date of Birth*

Sex*

Male Female

Nationality*

Physical Disabilities*

Yes No

Category *

General OBC ST SC

Permanent Address *

City*

State*

Pin Code*

Mobile No. *

E Mail *

Mailing Address *

Permanent / Guardian Details

Father's Name *

Mohter's Name *

Name of Guardian *

Occupation of Guardian *

Qualification of Guardian *

Mobile of Guardian *

E Mail of Gaurdian *

Attachment *

Upload your passport size photo

Educational Qualifications

Class	Name of College	Board/University	Marks Percentage	Division

Declaration

I declare that the information furnished by me herein are true and correct. In case any information furnished herein is found to be incorrect or any document is found to be forged, I agree to forego my claim for admission and abide by the decision of the university authorities. I further declare that i have read the prospectus furnished with the application form fully and understood the contents therein clearly and i hereby under to abide by the conditions prescribed therein. *