General Information :-

First Name*

Last Name

Mother Name*

Father Name*

Phone Number*

Email

Date of Birth*

Stream* -Select Stream- Medical Non Medical Arts Commerce

Category* -Select Category- General Schedule Caste Schedule Tribe Other Backward Classes

Sex* -Select Sex- Male Female

Address :-

Correspondence Address

State

District

Tehsil

Pin Code

Permanent Address

State

District

Tehsil

Pin Code

Academic Qualification:-

Examination	Subject	Board/University	Roll No	Year	Marks Obtained	Max Marks	% of Marks
Matric
10+2
Other

Check your Eligibility

1. That my percentage of marks at 10+2 level is 60% or above inn case of General Category candidates and 55% and Above in case of SC/ST/OBC category candidates.
2. If the answer to any of the above question is no or the application form is defirient in any respect, the same will be rejected and o correspondence will be made in this regard.

Passport Size Photograph*
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Matriculation Certificate*
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10+2 Certificate*
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Bonafide Himachali*
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Category Certificate*
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Sub-Category
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I here by declare that I have read and understood the conditions of eligibility for the admission to veterinary Pharmacist course for which I seek admission. I fulfill the minimum eligible criteria and I have provided necessary information in this regard in the application form. I further DECLARE THAT the entries made by me in the application form are correct to the best of my knowledge. I am conscious of the fact that if any of the entries is found to be incorrect, my admission is liable to be cancelled. I further solemnly affirm that I shall abide by the statutes governing the admission to Veterinary Pharmacist course and rules regulations of the University as amended and enforced from time to time and also of the Student's Conduct and discipline rules prescribed by the University as enforced from time to time. That I am not in employment in any Govt./Semi. Organization/Undertaking at the time of my admission. I am neither involved in any criminal case nor there is any criminal case pending against me in any Court of Law. I have not been debarred, rusticated by the Institute last attended/presently attending. If discovered even after confirmation of my provisional admission that I have made a false or incorrect statement or concealed any fact or used fraudulent means or such means have been used on my behalf for securing admission. I shall be liable to disciplinary action and cancellation of my admission without prejudice to such action as the University/Institution may take against me. I agree to follow the Admission procedure and shall strictly abide by all the instructions of the University authority in this regard.