Application Form

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Student Details
Parent Details
Qualification Details
Upload Images
Payment Details
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Personal Information

Step 1 - 6

Admission Sought Academic Year *

Name of the Course Preferred *

Admission Quota *

Name of the Candidate *

Father's Name *

Mother's Name *

Gender *

Date of Birth (DOB) *

Blood Group *

Phone *

E-Mail *

Religion & Community *

Category *

Reservation/Other Benefits *

Aadhar No *

Nationality *

State *

City *

Pin Code *

Address *

Parent / Guardian Information

Step 2 - 6

Parent / Guardian Occupation *

E-Mail

Mobile No.1 *

Mobile No.2

Annual Income (Rs.) *

Communication Address *

Student Qualifying Examination Details

Step 3 - 6

Qualifying Examination *

School/Institute *

Board/University *

Percentage/GPA *

Year of Passing *

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Photo & Other Uploads

Step 4 - 6

Upload Photo * (jpeg, jpg, png)

Upload Signature * (jpeg, jpg, png)

Application Fee Payment Details

Step 5 - 6

Amount Paid (Rs.) *

Mode of Payments *

Transaction ID / Receipt No.

Student Registration Details

Admission No.
Gender
D O B
Blood Group
Phone
E-Mail
Address
Transportation
Place
State
Nationality
Class
Admission Date
Aadhar No
Identification Mark
Admission Year
Parent Details
Guardian Name
Relationship
Occupation
Communication Address
permanent Address
E-Mail
Phone No1
Phone No2
Reset Password
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HOLY GRACE ACADEMY OF PHARMACY

(Approved by PCI & AICTE and Affiliated to Kerala University of Health Science )

Holy Grace Nagar P O, Kuruvilassery-Mala, Kerala-680732

Phone : 08086097900 Email : holygracepharmacy@gmail.com

Application From 2025

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