To,
The Registrar,
Sumandeep Vidyapeeth University, Piparia – 391 760

Sir,

I. I request permission to present myself as a candidate at the ensuring Examination for Sixth Year Pharm.D and I have paid the examination fees including the form fee Rs. 3100/- in the Accounts Section, SV, Piparia,

I have Passed Fifth Year Pharm.D. examination. I will abide by the decision of the university in all matters relating to discipline and examinations.I have no objection in appearing at practical and or/ Oral Examinations if held on Sundays or Holidays.
I hereby declare that since my last appearance at this Examination from this College, I have not joined any other College or Institute for prosecuting studies for this examination.

I hereby declare that I am not disqualified from appearing at the above as well as in any examination by any of the University in the region including this University, or by any University in the country.

I understand that this form filling does not directly make us eligible for University examination and I am subject to fulfillment of all eligibility requirement.