Online Application Form for MBBS admission in Russia

1) Personal Details (Type in Block Letters)

Name *

Email *

Gender*

Birth Place *

DOB *

Mobile Number *

Whatsapp Number *

Postal Address *

2) Parent Guardian Name(Type in Block Letters)

Parent's Name *

Parent's Mobile No. *

3) Eductional Qualification

Name of School *

Education Board Name*

Add Marks obtained (%)

Physics *

Chemistry*

Biology *

English*

Year of Completion *

4) Course of Study Applied for

Name of the Course*

Medium*

Name of University Applied for *

5) NEET Score

NEET Score *

6) UPLOAD REQUIRED FILES

Your Latest Photo:

Your 10th Marksheet:

Your 12th Marksheet:

7) OPTIONAL FILES

Do you have Passport? * Yes No

Passport Number:*

Expiry Date: *

I hereby declare that all the information given by me in this application is true and correct to the best of my knowledge and belief. I also note that if any of the above statements are found to be incorrect or false or any information or particulars have been suppressed or omitted there from, I am liable to be disqualified and my admission may be cancelled. I have read and understood the terms and conditions of the Admission. I hereby permit the consultancy to use, display or transfer any of the details furnished by me in this form for complying with the admission formalities.

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