B.Pharm Admission Form

ILAHIA COLLEGE OF PHARMACY

Pezhakkappilly P.O., Muvattupuzha, Ernakulam, Kerala – 686673

Approved by Pharmacy Council of India (PCI) and Affiliated to Kerala University of Health Sciences (KUHS)

APPLICATION FOR ADMISSION TO B.PHARM DEGREE COURSE 2026–2027 (MANAGEMENT QUOTA)

Candidate Name *

Email *

Gender *

Date of Birth *

Mobile Number *

Nationality *

Aadhaar Number *

Religion *

Community *

Category *

Permanent Address *

Father's Name *

Mother's Name *

Father Mobile *

Mother Mobile *

Board of Study *

Year of Passing *

Total Marks *

Percentage *

Physics (100) *

Chemistry (100) *

Maths/Biology (100) *

Total (300)

Eligible for KEAM *

Passport Size Photo (White Background) * Plus Two Marksheet * Candidate Signature * Parent Signature *

I hereby declare that the information furnished above is true and correct.

Online Application