Note : Kindly submit "NA" in the fields wherever left blank.
Names as per 12th (10+2) or equivalent marksheet, same will appear in the marksheet and certificate. If you do not have Last Name you may enter (.) dot.
I certify and declare that the information provided by me in the Pre-Admission Online Registration Form for B. Pharm – lateral entry 2017 is true and correct. In case of any discrepancy and / or submission of incomplete form, I am aware that my form will be rejected. In that case I shall lose my claim on the admission and will not hold NMIMS University authorities responsible for the same. Further, the registration fees paid my me will be forfeited.