APPLICATION FORM For Admission to International MBBS Program – Batch 2018 – 19 Personal Details : Full Name: Father's Name: Guardian Occupation : Parent's Annual Income: Rs. / Year Sex : MaleFemale Date of Birth : Year 201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197619751974197319721971197019691968196719661965 Month 123456789101112 Day 12345678910111213141516171819202122232425262728293031 Marital Status : Nationality : Passport Status : If Ready, PP No. If not, Application No : Present Address : : Pin Code : Mobile : E-mail : Education Qualification : Total Marks in 10+2 : % MArks in 10+2 : % Mrks in PCB : % Marks in English : Applied for NEET 2018?: Yes No Qualified in NEET 2018?: Yes No NEET Percentile Score : Country/ College/ University Preference : How do you know about us : News PaperInternetTV AdvertisementSeminarLeaftlet/PumpletFrom a friend If Other : We are specialist in getting our students to RESIDENCY in USA So they get registered directly with Medical Council of India as MD/MS without MCI Screening Test.
