BPharm Form A4 Combined
BPharm Form A4 Combined
2. Registration No.
(Punjab University) Gender: ..................................
(Male/Female)
3. Name of Candidate
(Block Letters)
Roll No: ..................................
(For Office Use)
4. N.I.C. No.
5. Father’s Name
(Block Letters) Paste Photograph
(Passport Size)
Nationality Religion
2. 5.
3. 6.
11. For compartment/exemption candidate only:
Year of appearing in Doctor/Bachelor of Pharmacy Professional .................1st or 2nd Annual Examination,
I,II,III,IV,Final
Branch Name..........................................................................................................................................
I certify that the applicant has fulfilled the conditions laid down under the Statutes enforce in the year of
Examination; that he/she is of good moral character; that he/she has signed this application and that his/her
statement above is correct.
N.I.C. # :
Signature and Office Stamp
2
IMPORTANT INSTRUCTIONS
1. The admission form will be liable to be cancelled if correct Registered No. is not mentioned or if incomplete or
incorrect entry is made in the Form. The incomplete Admission Form shall be rejected and returned forthwith. The
University shall not take any responsibility for the consequences.
2. Each candidate (Male/Female) must paste two latest passport size photographs (with sky blue background) at the
specified places of the Admission form.
3. The Admission form will be entertained only if the attested photocopies of the Registration Card and previous
Result Cards issued by the Punjab University are attached with the form.
4. The Examination begins on the date/s as given in the date-sheet. Every candidate must keep his/her National
Identification Card with him/her in the Examination Hall while taking the Examination.
5. Un-authorized change of centre is strictly prohibited. If any one changes his/her centre of Examination
unfairmeans case shall be registered against such a candidate.
6. No one should appear in the Examination without getting his/her Roll Number Slip, Unfairmeans case shall be
registered against those who will violate the above or such other instructions as are issued.
7. The order in which the candidates are seated will be forwarded to the Examiner. As and when a candidate be
discovered to have copied from another, he/she will be externed from the Examination as well as the candidate
from whom he/she copied, if there is reason to suppose that the copying was conceived at by the latter.
8. No candidate, without special permission of the Officer-incharge shall leave his/her seat or the examination room
till the end of the Examination. No candidate shall speak without permission if it be necessary for the candidate to
communicate with the Superintendent, he/she shall stand up in his/her place and the Officer-in-charge will see to
his/her wants.
9. Before beginning his/her answer, each candidate shall write on the title page of his/her answer-book the following
viz., the subject, the number of the paper and his/her Roll No. When the time allowed has expired the answer-book
must be delivered to the Superintendent, even though the candidate may not have answered any part of the paper.
10. No candidate shall give any mark of identification including his/her Roll Number, Name, Name of College or
Centre of Examination in his/her answer-book except at specified places. Such candidates shall also be proceeded
against under the University Regulations.
Note: Examination fee through Money orders, Bank Drafts and Cheques shall not be accepted.