MBBS Admission Application Form

International Medical Universities | Online Admission Application

Office: Bizdosth Private Limited
7-12A, Rambhathalapalli Vil, Gottipudi Post,
Thottambedu Mandal, Chittoor District,
Andhra Pradesh, India, PIN: 517536

1. Country and University Selection

Choose Country *

Preferred University *

2. Admission Preferences

Course Preference

Preferred Intake

Hostel Required

Indian Mess Required

Airport Pickup Required

Medium of Instruction

3. Student Personal Details

Full Name as per Passport *

Date of Birth

Gender

Nationality

Religion

Caste

Passport Status

Passport Number

Passport Expiry Date

Aadhaar Number

Blood Group

Marital Status

Recent Passport Photo

4. Contact Details

Mobile Number *

WhatsApp Number

Email ID *

Permanent Address

Current address is same as permanent address Current Address

Emergency Contact Person

Emergency Contact Number

5. Parent / Guardian Details

Select Parent / Guardian

Father’s Details

Father’s Name

Occupation

Mobile

Mother’s Details

Mother’s Name

Occupation

Mobile

Guardian’s Details

Guardian’s Name

Occupation

Mobile

Annual Family Income

6. Academic Details

10th Board / Year / Percentage

Board Name

School Name

Medium of Study

School Address

Total Marks

Secured Marks

Percentage

Year of Passing

12th Board / PCB Marks / Percentage

Board Name

College / School Name

Medium of Study

College / School Address

Total Marks

Secured Marks / PCB Marks

Percentage

Year of Passing

NEET Details

NEET Status

NEET Qualification Year

NEET Roll Number

NEET Score

NEET Percentile

Gap Year Details If Applicable

7. Document Checklist & Uploads

Maximum file size: 5 MB each. Allowed formats: PDF, JPG, JPEG, PNG, WEBP.

Passport Copy Pending

Passport Photo Pending

10th Marks Memo Pending

12th Marks Memo Pending

NEET Scorecard Pending

Aadhaar Copy Pending

Transfer Certificate Pending

Migration Certificate Pending

Medical Fitness Certificate Pending

Police Clearance if required Pending

8. Medical Declaration

Basic Health Questions / Medical Information

9. Visa & Compliance Declaration

Parent / Guardian declaration accepted. Click Here I am aware of NMC / FMGE / NExT guidelines. Click Here I confirm that the information provided is true and correct.

10. Official Office Use

Application ID

Counselor Name

Admission Status

Remarks