"*" indicates required fields Course Name* D. Pharmacy B. Pharmacy B. Pharmacy LEET M. Pharmacy Specialization* Pharmaceutics Pharmaceutical Chemistry Pharmaceutical Regulatory Affairs Upload your passport sized photoMax. file size: 2 MB.Full Name*(in block letters) Father Name*(in block letters) Mother Name*(in block letters) Date of Birth* DD dash MM dash YYYY Male/Female/Transgender* Male Female Transgender Is candidate having Haryana domicile? Yes No Family ID* Aadhar Number* Religion* Category of Candidate* UR SC SC(D) BC-A BC-B PWBD ESM FF of Haryana 7. Whether EWS* Yes No Family Income Father Occupation 9. 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Pharm)* Roll No. (D. Pharm)* Month & Year of Passing the Exam (D. Pharm)* Name of affiliating Board/University (D. Pharm)* Marks Obtained (D. Pharm)*Maximum Marks (D. Pharm)*Percentage (D. Pharm)Upload D.Pharm CertificateAccepted file types: jpg, gif, png, pdf, Max. file size: 4 MB.B.Pharm DetailsName of College/Institution (B. Pharm)* Roll No. (B. Pharm)* Month & Year of Passing the Exam (B. Pharm)* Name of affiliating Board/University (B. Pharm)* Marks Obtained (B. Pharm)*Maximum Marks (B. Pharm)*Percentage (B. Pharm)Upload B.Pharm CertificateAccepted file types: jpg, gif, png, pdf, Max. file size: 4 MB.Do you want to add additional qualifications?* Yes No Additional QualificationName of Additional Qualification* Name of School/College/Institution* Roll No.* Month & Year of Passing the Exam* Name of affiliating Board/University* Marks Obtained*Maximum Marks*PercentageUpload CertificateAccepted file types: jpg, gif, png, pdf, Max. file size: 4 MB.GPAT DetailsGPAT Score*GPAT Rank*Year of passing GPAT* Other DetailsHostel Accommodation Requirement* Yes No From where you came to know about JCDV?* Print Media Internet Other DECLARATIONConsent* I agree to the privacy policy.I solemnly declare and undertake that the information given by me in the admission form is correct and nothing has been concealed therein.I further declare that:-.I will abide by all the rules and instructions of the University and the Institute..I have not been disqualified by any Board/University. I am taking admission in the Institute provisionally at my own risk and responsibility and is subject to the confirmation of my eligibility by the university..If at any stage, I am declared ineligible, and my admission is cancelled by the university ab initio under the rules. I will have no claim for it..I shall abide by the rules of discipline and proper conduct, which may be framed in this regard. I fully understood the regulations and directions for banning ragging and affirm that I shall not indulge and involve myself in any act of ragging..I understood/agree that filling online admission form does not guarantee to confirm admission in the opted course..APPLICATION FEE DETAILSRegistration Application Fee - Rs. 500* Online Payment (Credit/Debit Card/Net Banking) On the spot (at college) Online Registration Fee Rs. 500* Price: You will be redirected to PayUmoney Website ( for online fee payment)