Application form

D Y Patil University, Kolhapur

PERSONAL INFORMATION

Full Name of the candidate : *

Gender : *

Male

Female

Other

Date of Birth : *

Address : *

District : *

State : *

Pin : *

RACE & RELIGION

Religion:*

Category:*

Caste:

UPLOAD PHOTO AND SIGN

JPG FORMAT AND MAXIMUM SIZE 4 MB

Photo: *

Signature: *

Caste Certificate:

COMMUNICATION INFORMATION

Mobile No : *

Parent’s Mobile No. :*

Student's Email ID : *

D. PHARM. PASSING INFORMATION

Passing Year *

I^st Year Percentage: *
Upload D. Pharm I^st Year Marksheet: *

II^nd Year Percentage: *
Upload D. Pharm II^nd Year Marksheet: *

DECLARATION

I hereby declare that the above information is true and complete to the best of my knowledge. I am aware that if any information herein is found to be incorrect or incomplete, my application form will be rejected / admission will be cancelled at any time of counseling or even during the academic course.
I have read and understood all the provisions contained in the notification/s and hereby agree to abide by these provisions.
I am aware that, any legal matters arising out of the total admission process of any Course through will be in the courts of Kolhapur.
The candidate should cross check all the details filled in the online application, before finally submitting the same, as no correction will be possible later

I Accept that I have gone through the Counselling Procedure.