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The document is an admission form for Maharshi Dayanand University for the academic year 2026-27, specifically for the M.Pharma Sciences program. It includes personal details of the applicant, Shagun Shukla, along with her GPAT score, payment status, and educational qualifications. The form also contains various declarations and uploads related to the application process.
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0% found this document useful (0 votes)
2 views4 pages

Web Page

The document is an admission form for Maharshi Dayanand University for the academic year 2026-27, specifically for the M.Pharma Sciences program. It includes personal details of the applicant, Shagun Shukla, along with her GPAT score, payment status, and educational qualifications. The form also contains various declarations and uploads related to the application process.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

MAHARSHI DAYANAND UNIVERSITY

Admission 2026-27
FORM NUMBER :

MDU260012547
DEPARTMENT

Department of Pharmaceutical Sciences

Programme Selection Details


Programme Name
Group [Link] Sciences( Industrial Pharmacy/ Pharmaceutical Chemistry/ Pharmacology/ Pharmacognosy/ Drug Regulatory
Affairs)

National Level Admission Test Details


GPAT Fill Score Year Percentage Category Application Number Rank Document

Fill Valid GPAT Details as per Eligibility 202 2026 40.4 General GP26024069 2765 Uploaded

Transaction Details
Payment/Submission Status : Payment/Submission Date : Transaction ID :
Paid 2026-06-08 21:21:36 652567414566
Amount :
1600

Personal Details
Full Name of the Applicant Name in Hindi Applicant's Registered Email
Shagun Shukla (शगुन शुला) शगुन शुला shivritshukla@[Link]

Registered Mobile Number Date of Birth Age as on Jan 1, 2026


9418457818 2 June 2003 22 Years 6 Months 30 days

Applicant's Gender Category Alternate Email


Female All India Open Category Seats (Including shagunshukla837@[Link]
Haryana State)/ROHOC

Alternate Mobile Number (Parent's/Guardian's) Category Blood Group


9816857818 All India Open Category Seats (Including O-
Haryana State)/ROHOC

Religion Nationality ID Proof (Govt. approved Identity Proof with address


Hinduism Indian details)
Other (Aadhar)

ID Number Parivar Pehchan Patra (PPP) Family-ID is mandatory Selected Exam Center Preference
487918867252 for those seeking benefits from Govt. Welfare Scheme. M.D University, Rohtak
92160301

Permanent Address Correspondence Address


V.P.O. UKHALI, TEHSIL AND DISTRICT V.P.O. UKHALI, TEHSIL AND DISTRICT
HAMIRPUR, Hamirpur, Himachal Pradesh, HAMIRPUR, Hamirpur, Himachal Pradesh,
Hamirpur - 176042, India Hamirpur - 176042, India

MDU registration details (if applicable)


Have you enrolled in MDU before? Enter Enrolment/Registration number Name of Department/Faculty/College
No Not Provided Not Provided

Programme registered in Year of Registration


Not Provided Not Provided

Family Details
Mother's Name Mother's Name in Hindi Mother's Mobile Number
Saroj Kumari सरोज कु मारी 9459278977

Father's Name Father's Name in Hindi Father's Mobile Number


Ravi Kant Shukla रिव कांत शुला 7807047315

Emergency Contact Number Combined Family Income


7807047315 Up to 4,00,000

Other Category/Supernumerary Seat Quota (Check Eligibility from Prospectus)


Person with Benchmark Disabilities (PwBD) Category Kashmiri Migrants & Kashmiri Pandit/Kashmiri Hindu Are you an Ex-service Man/Freedom Fighters or their
Not Applicable Families (Non-migrant living in Kashmir valley) Dependant?
Not Applicable No

Single Girl Child Quota (Supernumerary Seat Quota) Do you have relevant Cultural Activities Certificate Do you have relevant Defence Personnel Certificate
No Not Applicable No

Sports Quota
No

Fill other Details/ Supernumerary Seat Quota (Check Eligibility from Prospectus)
Certified that I have passed my qualifying exam from Academic Bank of Credit (ABC-ID) Any Year Gap
Haryana. 205070124538 No

Do you have NCC Certificate (Supernumerary Seat Do you have relevant NSS/YRC Certificate Do you belong Urban/Rural/Semi-Urban/Metropolitan
Quota) No Area?
NoNA Rural

Are you ward of University Employee (Father / Mother Are You Bonafide Residents of Haryana? Are you applying for a Non-Resident Indian
working in MAHARSHI DAYANAND UNIVERSITY) No Supernumerary seat?
(Supernumerary Seat Quota)? No
No

Are you an Orphan? Are you applying for Tuition Fee Waiver Seat Quota as Are you applying for 10% Supernumerary Seats for
No per eligibility under Prospectus (Fill YES/NO/NOT applicants belonging to State/UTs other than Haryana
Applicable) a as per eligibility under PG prospectus (Fill
NO YES/NO/NOT Applicable)
YES

Member ID (as mentioned on Parivar Pehchan Patra Are you applying for an International Students Are you applying to the Centre and State Govt.
(PPP)/Family ID) Supernumerary seat? Nominated/Sponsored personnel Supernumerary
92160301 No seat?
No

Are you applying for the Ward/ Spouse of Kargil Are you applying for a Bharat Scouts and Guides University Campus School, Rohtak (10+2) Pass Out
Martyrs Supernumerary seat? Supernumerary seat? Student (Supernumerary Seat Quota)
No No No

Selected Eligibility Criteria

As Prescribed in the prospectus. NOTE: Candidate must fill Valid GPAT Score. Entrance Merit (The admissions will be first made on the basis of
GPAT score followed by the Entrance Test Score conducted by M.D.U.)

Qualification Details - X or Equivalent


Class X Result Status Class X Year of Passing X Marks Obtained/X Maximum Marks
Passed 2018 569.00/700.00

Class X Percentage (If your mark is in CGPA, please Class X Name of the Institution Class X Board/University
convert to equivalent percentage as per your CGPA Sai Public Sr Sec School Ukhali, District Himachal Pradesh Board of School
score and CGPA Scale) Hamirpur Education
81.28

Class X Subject Combination Class X Division Registration number/Roll. no.


English, Math, Hindi, Social Science, First 161726110008
Science, Sanskrit, Computer Science

Qualification Details - XII or Equivalent


Class XII Qualification Status Class XII Year of Passing XII Marks Obtained/XII Maximum Marks
Passed 2020 414.00/500.00

Class XII Percentage (If your mark is in CGPA, please Class XII Name of the Institution Class XII Board/University
convert to equivalent percentage as per your CGPA Sai Public Sr Sec School Ukhali, District Himachal Pradesh Board of School
score and CGPA Scale) (Best of the five subjects) Hamirpur Education
82.80

Class XII Subject Combination Class XII Division Registration number/Roll. no.
Physics, Chemistry, Biology, English, First 161726110008
Physical Education

XII Qualifying Degree State XII Qualifying Degree Pincode


Himachal Pradesh 176042

Qualification Details - Graduation or Equivalent


Graduation Qualification Status Graduation Year of Passed Final Examination Graduation Institution/College
Appearing 2026 Government College of Pharmacy Nagrota
Bagwan, Kangra
Graduation Subject Combination Graduation Honors Subject Graduation Name of the Board/University
All Subjects of [Link] provided by HPTU No Himachal Pradesh Technical University,
Hamirpur Hamirpur
Graduation Course Name Graduation Division Graduation Qualifying Degree State
[Link] NA Himachal Pradesh
Graduation Qualifying Degree Pincode Term Wise Marks Distribution
176047
Total Marks
Total Max. Marks(Specialization/Major
Year/Semester Obtained(Specialization/Major Percentage
Specialization in UG)
Specialization in UG)

I 7.69 10.00 76.90

II 8.07 10.00 80.70

III 8.50 10.00 85.00

IV 8.71 10.00 87.10

V 8.08 10.00 80.80

VI 8.87 10.00 88.70

VII 9.00 10.00 90.00

Total 58.92 70.00 84.17

Uploads

Photo Uploaded
Signature Uploaded

ID Proof Document Uploaded

PPP Family ID Document Uploaded

Income Certificate, if applicable Not Uploaded

Additional Document, if any Not Uploaded

Class X (Scan both marksheet and certificate in a single file and upload) Uploaded

Class XII Scan both marksheet and certificate in a single file and upload Uploaded

GPAT Upload Certificate (Fill Valid GPAT Details as per Eligibility) Uploaded

"I do hereby declare that all the statement made in the application are true, complete and correct to the best of my knowledge and belief. I am
duly aware that in the event of any particulars or information furnished by me is found to be false/incorrect/incomplete or if i am found indulging in
some unlawful act at any time during the course period, my candidature is liable to be summarily rejected/cancelled."Additionally undertaking for
students whose results are awaited: "I, having been permitted to be provisionally admitted to University hereby undertake to produce the proof of
having successfully qualified in the final qualifying examination with requisite percentage of marks if failing, I shall forthwith vacate the seat and
shall have no claim for refund of fees already paid. I hereby declare that I shall abide by the rules and regulations of the University
Prospectus, Ordinances and other notifications issued from time to time " I have read the Online Payment Policy Terms and
Conditions as provided on the link: [Link]

APPLICANT SIGNATURE

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