Ilahia College of Pharmacy
Online Application Form
Fields marked with * are required.
Personal Details
Full Name *
Email
Gender *
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Male
Female
Other
Date of Birth *
Mobile Number *
Nationality *
Aadhaar Number *
Religion
Community
Category *
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General
OBC
SC
ST
EWS
Other
Permanent Address *
Parent Details
Father's Name *
Mother's Name *
Father Mobile *
Mother Mobile *
Academic Details
Board of Study *
Year of Passing *
Total Marks *
Percentage *
Mark Details
Physics (100) *
Chemistry (100) *
Maths/Biology (100) *
Eligible for KEAM *
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Yes
No
Academic Year *
2025-26
2026-27
2027-28
Upload Documents
Passport Size Photo (White Background) *
Plus Two Marksheet *
Candidate Signature *
Parent Signature *
Account Password
Create Password *
Confirm Password *
Submit Application