Name *

Email *

Contact No. *

Date of Birth *

Sex * MaleFemale

Permanent Adress *

State *

City *

Father Name *

Father Contact No. *

Select Course * MBBSMD/MSBDSMDSPHARMA

City * RUSSIAUKRAINEKYRGYSTANKAZAKISTANCHINAGEORGIAARMENIAPHILLIPINES

Marks in 10th % *

Marks in 12th(PCB) * **Should be 50% or more for general category students and 40% for other categories

NEET QUALIFIED * YesNoResult not outNot Appeared

About You *

Upload Scan Copy of Documents ***Passport

File Upload ** 10th mark sheet

File Upload **12th Mark sheet

File Upload *** Neet Score card

File Upload ** Photo