Profile PhotoChoose FileNo file chosenDelete uploaded fileUpload PhotoName of Applicant *Permanent Address of ApplicantCommunication Address of ApplicantGender *FemaleMaleDate of Birth *Caste and Religion *Marital Status *Name of Guardian *Applicant Relationship with GuardianIncome of Guardian yearly *Mobile Number of Applicant *Mobile Number of Guardian *Email address of Applicant *SSLC Total % of Marks secured *Name of Examination Qualified at 10 +2 level *10+2 level % of Marks obtained: Total Marks in % *Physics *Chemistry *Biology/Mathematics *Signature *Choose FileNo file chosenDelete uploaded file10+2 level qualified exam certificate *Choose FileNo file chosenDelete uploaded file10+2 level qualified exam marks card *Choose FileNo file chosenDelete uploaded fileAddress Proof *Choose FileNo file chosenDelete uploaded fileAge Proof *Choose FileNo file chosenDelete uploaded fileCaste and Religion Proof *Choose FileNo file chosenDelete uploaded fileCourse and Conduct certificate obtained from Institution last studied *Choose FileNo file chosenDelete uploaded fileTransfer Certificate *Choose FileNo file chosenDelete uploaded fileDeclaration By the ApplicantMyself {text-1} do declare that, the details mentioned in this application are true , I will abide the rules and regulations of “Holy Queen College of Pharmaceutical Sciences and Research” and I will not do anything by any means which destroy the goodwill of the Institution I am studying. If I violate this declaration ,Institution authority can take any action including expulsion from the Institution.Name *Signature *Choose FileNo file chosenDelete uploaded fileDate *Declaration By the Guardian/Parent of ApplicantMyself {text-6} Guardian of {text-1} residing at do declare that, the details mentioned in this application are true , I solemnly affirm that Will abide the rules and regulations of “Holy Queen College of Pharmaceutical Sciences and Research” and He/She will not do anything by any means which destroy the goodwill of the Institution in which he/ she is studying. If my ward violate this declaration ,Institution authority can take any action including expulsion from the Institution.Name *Signature *Choose FileNo file chosenDelete uploaded fileDate *For office Use Only:Name of Student: Name of course admitted: Academic Year Admitted: Date of Admission: Admission category:Name & Sign of Principal with date and sealRegister
