MBBS Admission Application Form

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

Passport Status

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

Email

Mother’s Details

Mother’s Name

Occupation

Mobile

Email

6. Academic Details

10th Board / Year / Percentage

Board Name

Medium of Study

Total Marks

Secured Marks

Percentage

Year of Passing

12th Board / PCB Marks / Percentage

Board Name

Medium of Study

Total Marks

Secured Marks / PCB Marks

Percentage

Year of Passing

NEET Details

NEET Status

7. Document Checklist & Uploads

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

Passport Copy Pending

10th Marks Memo Pending

12th Marks Memo Pending

NEET Scorecard Pending

Aadhaar Copy 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