Personal Details Full Name: Surname: Father Name: Mother Name: Gender: --Gender-- Male Female Other Date Of Birth: Nationality: Email: Phone number: Phone number: Emergency Contact: Upload Photo (Resolution : 35mm*45mm or 3.5cm*4.5cm , Size : 600 dpi , Face visibility : 80% ,Colour : Black and White or Colour in matt finish with white background) Passport Details Passport Number: Date Of Passport Issue: Date Of Passport Expiry: Place of Passport Issue: Postal Address on passport with pincode: Father Name: Mother Name: Identification (Scan copy of Passport both side front and back): Educational Details School Name Year of Completion: College Name: Year of Completion: HSC College Name: Year of Completion: Marks obtained in SSC: Attach scan copy: Marks obtained in 11th: Attach scan copy: Marks obtained in HSC: Attach scan copy: Marks obtained in Physics: Out of: Marks obtained in Chemistry: Out of: Marks obtained in Biology: Out of: Marks obtained in English: Out of: Board Name & Division: Attach scan copy: Marks obtained in NEET: Out of: Attach scan copy: Year of completion: Attach scan copy: University Preferences Courses: --Select Courses-- MBBS University Preferences: I abide by the rules and regulations of AKEC Enroll Now Total Procedure Details