Student Registration Form Fill up all the details to complete your registration. Application form Candidate's Personal InformationFirst NameMiddle NameLast NameSuffix Name (Optional)Nickname (Optional)Contact numberStudent's email addressGender- Select -MaleFemaleOtherNationalityReligionBirthdateAddress Line 1CityStatePin CodeCountry-Select Country-AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweCivil Status- Select -SingleMarriedSave & ResumeNext, Family & Guardian -->Candidate's Family & Guardian's InformationFather's NameFather's contact numberFather's occupationMother's NameMother's contact numberMother's occupationGuardian's NameRelation with GuardianSave & Resume<-- Previous, Candidates InformationNext, Academic Information -->Academic InformationPreferred Course- Select -MBBSBDSBAMSBHMSBUMSBYNSNursing CoursesPharmacy CoursesLaboratory CoursesOther Paramedical/Allied Medical CoursesPreferred Country- Select -IndiaPhilippinesKazakhstanBangladeshIranOthersNEET Qualified?-Select-YesNoNEET Qualification YearPrevious School/College NameAcademic Qualification- Select -12th PassGraduateGraduation year 10th MarksTotal MarksPercentage/CGPA 12th MarksTotal MarksPercentage/CGPAPhysics MarksChemistry MarksBiology MarksSave & Resume<-- Previous, Family & GuardianNext, Documents Upload -->Upload Document10th MarksheetChoose File 11th MarksheetChoose File 12th MarksheetChoose File Transfer CertificateChoose File Registration Certificate (HS)Choose File NEET scorecardChoose File Have Passport?- Select -YesNoUpload PassportChoose File Upload AADHARChoose File Candidate's Photograph (2x2)Choose File Save & ReviewSubmit Previous