APPLICATION Form for PG (M.Pharm)

ONLINE PAYMENT TIPS

Application No: 2024-1072

Date: 05-12-2024

* indicates mandatory fields.

Course Apply *

Student Details

* Attach Passport size photo Max Size: 200kb Compress photo here

First name *(As appeared on HSLC)

Middle name

Last name

Email ID (Enter valid email Id for future correspondence) *

Age *

Date of birth *

Sex

Male Female Transgender

Blood Group *

Identification Mark *

Community

Nationality *

Religion *

Category *

General SC ST OBC-NCL PWD General-EWS

Details of Student's Parent

Father's name *

Occupation

Phone

Mother's Name

Occupation

Phone

Permanent address *

House No.

Street*

City*

District*

State*

Pin Code*

Phone no*

Address for correspondence *

Same as permant address

Yes No

House No.

Street*

City*

District*

State*

Pin Code*

Phone no

UG Course*

Name of the college where the student passed *

Name of the university *

Year of passing *

Percentage of marks obtained *

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 Score

Year	GPAT Score

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

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 *

Yes No

Physically Challenged *

Yes No

The followings are to be attached with the application.

1. Residential Certificate. (PDF with Max size 200KB).*
2. Certificates for Reserved Categories (SC/ST/OBC-NCL/PWD/GEN-EWS) (PDF with Max size 200KB).
3. No Objection Certificate from the employer in case of employed candidate.
4.Marksheets of all year/semester. (All pages should be uploaded in a single PDF with Max size 1MB)*
5. Certificates of (All year/semester).(All pages should be uploaded in a single PDF with Max size 500KB)*
6. Cl-X Std (HSLC) Marksheets & Certificates (All pages should be uploaded in a single PDF with Max size 500KB)*
7. Cl-XII Std (HSSLC) Marksheets & Certificates. (All pages should be uploaded in a single PDF file with Max size 500KB)*
8. GPAT - score card (PDF with Max size 200KB) (If applicable)
8. One Year Internship Certificate. (PDF file with Max size 200MB)*
8. Indian Nursing Council (NUID) Registration Card/Certificate (PDF with Max size 200KB)*
9. State Nursing Council Registration Card/Certificate (PDF with Max size 200KB)*
10. Experience Certificate(PDF with Max size 200KB)*

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

** Compress pdf here

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 the applied course. I aware that if I get admitted to this Institution and if I indulge in ragging, I will be expelled from the Institution.

I declare, that the above information given is true and correct to the best of my knowledge and belief. If anything is found to be false or incorrect, I shall surrender the claim of seat in M.Sc.Nursing I am aware of the fact that if I got admitted to the RIPANS and if I indulge in ragging, the decision of RIPANS authority will be binding.

I agree

CHECK LIST *

The followings are to be attached with the application. 1) Residential Certificate. 2) OBCs/SC/ST/PWD certificate. Valid Non creamy Layer Certificate should be submitted by OBC. 3) Mark sheets and Certificates of B.Sc. (N)/ B.Sc Hons (N)/ PBBSc.N (all year/semester) 4) Other qualifications (Mark sheets & certificates). 5) Valid NUID and State Nursing Council Registration Card for M.Sc. Nursing. 6) Experience Certificate for M.Sc. Nursing.

IMPORTANT NOTES *

1. Application Fee is Rs. 500/-. 2. It is compulsory to produce Original Certificates; Mark sheets etc. at the time of Counseling. 3. Entrance test for M.Sc.Nursing shall be held on 10 th August, 2022 at RIPANS, Aizawl, Mizoram. 4. Date of Counseling and Commencement of classes shall be notified later.

ELIGIBILITY CRITERIA for M. Sc. (N): *

1. The candidate should be a Registered Nurse and Registered Midwife or equivalent with any State Nursing Registration Council. 2. The Minimum educational requirement shall be the passing of B.Sc. Nursing/B.Sc. Hons. Nursing/Post Basic B.Sc. Nursing in an institution which is recognized by Indian Nursing Council with minimum of 55% aggregate marks. 5% relaxation of marks for SC/ST candidates may be given. 3. Minimum one year of work experience after Basic B.Sc. Nursing. 4. Minimum one year of work experience prior or after Post Basic B.Sc. Nursing 5. Candidate shall be medically fit.