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ONLINE ADMISSION FORM
Course :
Target MBBS: Integrated Course for students of Standard IX
Price :
8359/-
(without relevant scholarships if any)
Kindly Note
: All Fee mentioned here is for Students enroling from India. For
students enroling from outside India
, can call us at +91-120-4666555 for details between 11:00 & 20:00 IST (monday to saturday)
Personal Information
Name of the Candidate
Father’s / Guardian’s Name
Contact Information
Correspondence Address
State
Pin
Ph. (Res.)(with STD code)
Mobile
No.
Permanent Address
same as correspondence address
State
Pin
Ph. (Res.)
E-mail ID of the Student
Additional Information
Mode of Payment
Demand Draft
Online Bank Transfer
Credit Card
Payment Plan
Full
Following payment plans are available for Credit Card payments only
3 Months EMI (Available only with
ICICI Credit Cards
)
6 Months EMI (Available only with
ICICI Credit Cards
)
Pricing Options
Full Fee
Full Fee
I agree to the Terms and conditions.
** All the Terms and Conditions for this course are detailed in the course Prospectus.
Please note
that all scholarship concessions will be confirmed only on receipt of the
attested
marksheet from the student and if the marks do not justify the concession, the differential payment will need to be made before the enrolment can be finalized. Also, only mark sheets that are duly attested will be considered as valid documents.