Regional Institute of Paramedical and Nursing Sciences
ISO:9001:2015 CERTIFIED

Admission Form for M.Pharm

Application No: 2020-063

Date: 26-10-2020

Student Details

*
* Attach Passport size photo Max Size: 500kb

Community

Details of Student's Parent

Permanent address *

Address for correspondence *


Percentage of marks obtained in 4 years B.PHARM course*

Year/Semester % of Marks No. of Attempts Year of passing
1 st yr/1 st sem.
2 nd sem.
2 nd yr/3 rd sem.
4 th sem.
3 rd yr/5 th sem.
6 th sem.
4 th yr/7 th sem.
8 th sem.
Overall/percentage

GPAT qualified *

Other qualifications *

Class Board Year of passing % Of marks Division
HSLC
PU(Sc)/HSSLC(Sc)

Specialization applied for *

Specialization applied for 1.Pharmaceutics 2. Pharmacology 3. Pharmaceutical Chemistry 4. Pharmacognosy Please select and filled as per Your preferences subjected
to availability at the time of counseling
1 st preference
2 nd preference
3 rd preference
4 th preference

Hostel accommodation require *

The followings are to be attached with the application. *

1. Residential Certificate for candidate residing in (Assam, Arunachal Pradesh, Manipur, Meghalaya, Mizoram, Nagaland, Sikkim, Tripura in PDF with Max size 500KB).*
2. OBC/SC/ST/PWD certificate. Valid Non creamy Layer Certificate should be submitted by OBC (PDF with Max size 500KB).(If applicable)
3. Marksheets of B.Pharm all year/semester.(All pages should be uploaded in a single PDF with Max size 3MB)*
4. Certificates of B.Pharm all year/semester.(All pages should be uploaded in a single PDF with Max size 3MB)*
5. GPAT - score card(PDF with Max size 500KB) (If applicable)
6. Cl-X Std (HSLC) Marksheets & Certificates (All pages should be uploaded in a single PDF with Max size 3MB)*
7. Cl-XII Std (HSSLC) Marksheets & Certificates.(All pages should be uploaded in a single PDF file with Max size 3MB)*

(Note: All documents uploaded by the applicant should be produced in original as and when call for verification by the Institute.)

Self Declaration *

I declared that the above information is true and correct to the best of my knowledge and belief. If I am found to be false or incorrect, I shall forfeit the claim to be considered for seat in M.Pharm. I aware that if I get admitted to this Institution and if I indulge in ragging, I will be terminated from the College.

Course-Wise Admission Fee at RIPANS

Sl.
No.
Particulars B.Sc.Nursing
(1st Year)
B.MLT
(1st Semester)
B.Pharm
(1st Semester)
B.Optom
(1st Semester)
BRIT
(1st Semester)
M.Pharm
(1st Semester)
1 Admission Fee 700.00 350.00 350.00 350.00 350.00 700.00
2 Course Fee 1200.00 600.00 600.00 600.00 600.00 1200.00
3 Library Fee 200.00 100.00 100.00 100.00 100.00 200.00
4 Laboratory Fee 100.00 150.00 150.00 50.00 150.00 550.00
5 Magazine Fee 100.00 50.00 50.00 50.00 50.00 100.00
6 Extra-curricular Activity Fee 250.00 125.00 125.00 125.00 125.00 250.00
7 Bus Fare 200.00 100.00 100.00 100.00 100.00 100.00
8 Film Badge Fee NA NA NA NA 150.00 NA
9 Prospectus 200.00 200.00 200.00 200.00 200.00 200.00
10 Caution Money 500.00 500.00 500.00 500.00 500.00 500.00
Grand Total 3450.00 2175.00 2175.00 2075.00 2325.00 3800.00