skip to Main Content

Help Line: +91 91777 34565 info@edplus.in

Application Form

For Admission to International MBBS Program – Batch 2020 – 21

    Personal Details:

    Full Name:

    Father/Guardian's Name:

    Father/Guardian Occupation:

    Father/Guardian's Annual Income: Rs. / Year

    Sex: MaleFemale

    Date of Birth:

    Marital Status:

    Nationality:

    Passport Status: If Ready, PP No.

    If not, Application No:

    Present Address:

    Pin Code:

    Mobile:

    Email:

    Education Qualification:

    Total Marks in 10+2:

    % Marks in 10+2:

    % Mrks in PCB:

    % Marks in English:

    Applied for NEET 2019?:

    Yes/No Qualified in NEET 2019?:

    NEET Percentile Score:

    Country / College / University Preference:

    How did you know about us:

    News PaperInternetTV AdvertisementSeminarLeaflet/PamphletFrom a friend

    If Other:

    Call Now Button Back To Top