KLE Academy of Higher Education and Research, Belagavi

Accredited 'A' Grade by NAAC (2nd Cycle)              Placed in Category 'A' by MHRD (GoI)

Online Application form at :

KLES College of Pharmacy, Belagavi


COLLEGE / COURSE / CATEGORY :- All Fields are Mandatory
College :
Course :
Category :

PERSONAL INFORMATION
Name of the Candidate :
Father Name :
Mother Name :
Gender : MALE            FEMALE
Birth Date :
Religion :
Caste :
Aadhaar Number :

COMMUNICATION INFORMATION
Address :
 
 
City : Pin :
District : State :
STD Code : Telephone : (Enter 0, if no Telephone No.)
Mobile : Email Address :

ACADEMIC DETAILS
Month/Year of Passing SSLC/SSC/ 10th :  / 
Percentage in SSLC/SSC/ 10th :
ACADEMIC DETAILS 12th / HSC / PUC
Whether appearing for PUC II/HSC/12th 2018 :
Month / Year of Passing PUC II / HSC / 12th/ D.Pharm (if applicable) :  / 
Name of the PUC II / HSC / 12th Board / D.Pharm :
Physics Marks  :
Chemistry Marks :
Biology Marks  :
Maths Marks  :
Others  Marks ( If Applicable)  :
Percentage in PCB  :
Percentage in PCM  :
  Percentage in  12th / HSC / PUC :

UPLOAD PHOTO AND SIGN
Upload Photo
(JPG FORMAT AND MAXIMUM SIZE 35KB) ------>

Upload Sign
(JPG FORMAT AND MAXIMUM SIZE 30 KB) ------>


DECLARATION
1. I hereby declare that the above information is true and complete to the best of my knowledge. I am aware that if any information herein is found to be incorrect or incomplete, my application form will be rejected / admission will be cancelled.
2. If admitted to any of the constituent units of KLE Academy of Higher Education & Reserach, Belagavi. I shall abide by its Rules and Regulations.
3. I have read and understood all the provisions contained in the brochure and hereby agree to abide by these provisions.
4. I am aware that, any legal matters arising out of the total admission process of any Course through KAHER-2018 will be in the courts of Belagavi.
The candidate should cross check all the details filled in the online application, before finally submitting the same, as no correction will be possible later



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