Approved by AICTE, Affiliated to the Savitribai Phule Pune University, Recognised by DIE (Govt. of Maharashtra)

Campus : S. No. 50, Marunje, Near Rajiv Gandhi Infotech Park, Hinjewadi, Pune - 411057. TeleFax No. 020-22934188, 22934041 Phone No. 020-32530873 Cell No. : +91 9325310994, +91 937 1841137 Email : info@alardinstitutes.org

Sr. No _________________

APPLICATION FOR ADMISSION

(Bachelor in Pharmacy/Master in Pharmacy)

Within Savitribai Phule Pune University

For Office Use Only

Registration Fee _________________ Receipt No.& Date _________________

Written Test Roll No. ___________________ Final Roll No. _________________

To,

The Principal, ACP, Pune

Sir,

I request admission to B. Pharmacy for the academic year

Year for which I hereby remit Rs _________________ Rupees (in words) _________

__ as Registration Fee in Cash / Crossed Demand Draft. My personal details are given

below:

I understand that if admitted, my admission will be confirmed only on production of the Transfer Certificate

from my previous College/Educational Institution or the Eligibility Certificate from the University as the case may be.

PERSONAL INFORMATION

Name in full

Add r e s s

(Surname) (First Name) (Father's/Husband's Name)

Address (Local) ________________________________________________________________________

Telephone No : __________Mobil Number : _________ Blood Group _________ Email ID______

Date of Birth (in words) ___________________________________ (In Figures) __________________

Age in complete years (As on 1st July in current year) ___________ Place of Birth _____________________

Marital Status _______________________________________________________________________________

Father's/Husband's Name ___________________________________________________________________

Father's/Husband's Designation and Office address ________________________________________________

Father’s/ Husband’s contact number and email id ________________________________________________

ALARD CHARITABLE TRUST'S

ALARD COLLEGE OF PHARMACY

Within Maharashtra ______ Out of Maharashtra _____

for F.Y. / S.Y. / T.Y. / Final

State whether you belong to SC, ST, DT, NT, OBC, OPEN CATEGORY _________________________________

EDUCATIONAL DETAILS (Mention all Board / University Examinations that you have passed beginning from SSC / HSC

Exam Passed

University or Board

Year of Passing

Percentage of Marks

Or special optional subject

Name of college /

Institute

Nationality. ___________________________________________________________ If a Foreign National indicate

Passport No ___________________________________ Student Visa No. _________________________

LANGUAGES KNOWN

Sr. No. Languages Can Speak Can Write Can Read

UNDERTAKING

1. I hereby submit, to the disciplinary jurisdiction of the Vice Chancellor and the other officers and authorities of the

University / and the director and the authorities of the Institute and shall observe and abide by the rules made by

the Vice Chancellor in that behalf and also made by the Head of the Institute.

2. I have carefully noted the rules and process of admission as given in the prospects which I am required to follow

and shall in matters of interception accept the decision, given by the Director in this respect is final and binding.

3. I shall attend minimum 75% lectures for each course as per the rules failing which I shall not approach the

Director for any concession on this respects and shall be liable to be debarred from appearing for the

Examination.

4. I have also read, understood and accepted the code of conduct and notifications displayed on the General Notice Board of the Institute and shall take note of all the communications put on the Notice Board from time to time.

Signature of the Candidate

ALARD CHARITABLE TRUST'S

ALARD COLLEGE OF PHARMACY S. No. 50, Marunje, Near Rajiv Gandhi Infotech Park, Hinjewadi, Pune - 411 057

Rules& Regulations 1. Student should follow the discipline and instructions given by the competent authority director/ principal from time to time.

2. The student must be regular in his/her attendance for theory and practical classes. In case the student attendance is less than 75%

his/her term will not be granted.

3. All original documents i.e. marksheet, transfer certificate, migration, entrance score card etc., should be submitted at institute on

joining, failing which the admission will be canceled.

4. Student should exhibit ethical behavior in the institute campus.

5. Student name will be struck off roll calls in he/she remain absent for more than one month without prior written notice.

6. Mobile use is prohibited in the classroom, computer lab, laboratories and library.

7. The student should not participate in any antisocial activities, chewing gum, tobacco, gutaka, smoking and drinking of liquor is

prohibited.

8. Any damage done to institute, hostel property is prohibited, heavy penalty will be charged and student will be expelled from the

college and fees will be forfeited.

9. Attendance is compulsory for seminar guest lecture, examination and project work etc.

10. Ragging of student in any form is not allowed. Strict disciplinary action will be taken.

11. Violation of the institute rules or any act within the campus is prohibited.Dress code is compulsory in the institute. Agitation on any

account is also prohibited.

12. Student if found indulging in anti-national activities contrary to the provisions of act and laws and enforced by government or in

any activity contrary to rules and discipline will be liable to be expelled from the college without any notice by the

principal/director.

13. If any of the statement made in application form or any information supplied by the candidate in connection with his/her admission

is in late on at any time, found to be false or incorrect, his or her admission will be canceled, fees forfeited.

14. The student should understand and adhere to the code of conduct and notification displayed on the general Notice Board and the

instruction/information contained there shall deemed to have been read and noted by the student.

15. This rules & regulations given to the student at time of admission are considered to have been read and accepted. Student should

strictly follow the same. Non-adherence of the same shall lead to disciplinary action by the competent authority.

16. Fees being paid at the time of admissionin an interim fees, final fees will be finalized by ShikshanShulkSamiti (MS)/Institute shall

be applicable and payable by the students immediately within seven days without any agitation.

17. The institute is at liberty to transfer the student to any other branch/course depending on availability of the seats which shall be

accepted by the students.

I accept the above rules and regulations.

Signature:

Student name

Course:

Date: