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Application Form
Course Name (Block Letters)
College Applied Photo
Gender Date of Birth
Name of Father Name of Mother
Religion Caste
Phone No. Mobile No.
Permanent Address Address for Communication
Same as Permanent Address  

Details of Qualifying Examination

H.S.E. or Equivalent, specify University / Board
Register Number Year & Month
Marks Obtained
Maximum Marks Marks Secured Percentage (%) No. of Chances
Computer Science
Total Marks
Annual Income of the Family
If the candidate is claming any reservation or other benefits,furnish details

Application Fee Details

Application Fee Paid DD No
Date Bank

* IMPORTANT   Click Here Read the Prospectus Carefully Before Filling the Application Form


  1. Duly filled application form along with relevant documents and DD for Rs. 1000/- in favour of "Kerala State Self Financing Pharmacy College Management Association" Payable at Chalakudy, should be submitted to the office of the college on or before 12-06-2019.
  2. Applications received after the prescribed date will not be entertained under any circumstances.
  3. Application forms not supported by relevant documents will not be considered.
  4. Attach Copy of 10 th Standard & 12 th Standard.
  5. A self addressed envelop (25 x 12 cm size) with India Postal Stamp sufficient for sending the selection memo by registered post shall also be attached.

Contact us

  • KVM College of Pharmacy
    KVM College Road, Cherthala
    Kokkothamangalam P.O
    Alappuzha, Kerala, India - 688 527
  • 0478 - 2811080, 2814943, 8943681073
  • Fax 91-478-2811707
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