To familiarise Candidates with the Online Application Form of AIPMT

21 Pages·2014·3.91 MB·English

HOMEPAGE

To familiarise Candidates with the Online Application

Form of AIPMT - 2015, Replica of Application form and

important instructions are given in the following

illustrations.

Candidates are advised to go through the Information

Bulletin AIPMT 2015 carefully and download Replica of

Application Form to acquaint themselves with the

requirements for submission of online application.
INSTRUCTION PAGE
REGISTRATION PAGE
Please Mention your own /Parent's Mobile no. & Email ID as you will
recieve One Time Password (OTP) for final submission of Online
Application & future Communication on the same.

Proceed for Step 2

Eligibility for 15% All India Quota Seats

(i) He/she has completed age of 17 years at the time of admission or will complete the age on
or before 31st December of the year of his/her admission to the 1st year MBBS/BDS Course
and is an INDIAN NATIONAL.
(ii) The upper age limit for candidates seeking admission under 15% All India Quota Seats is 25
years as on 31st December of the year of the entrance examination. Further provided that
this upper age limit shall be relaxed by a period of 5 (five) years for the candidates of
Scheduled Castes/ Scheduled Tribes/Other Backward Classes. Candidate must born on or
between
(a) 01/01/86 to 01/01/99 (SC/ST/OBC Category)
(b) 01/01/91 to 01/01/99 (Other Category)
Eligibility for seats under the control of participating States/Universities/Institutions and
AFMC
He/she has completed age of 17 years at the time of admission or will complete the age on or before
31st December of the year of his/her admission to the 1st year MBBS/BDS Course and is an INDIAN
NATIONAL.
The upper age limit for candidates seeking admission under seats in the control of participating
States/Universities/Institutions shall be as per their rules and regulations.
(STEP – 2)
APPLICATION FORM
Choose any one
either India or OCI
State to which the
Applicant belong
i. 1. Students from AP, J&K and
Telangana are not eligible for
15% All India Quota (Rule 9.1
(iii) of Information Bulletin.
ii. 2. Students from AP, J&K and
Telangana who are domicile of
other States required to submit
Self declaration for 15% All
India Quota seats. (Appendix II
of Information Bulletin)
iii. 3. Candidate’s option for State
Quota seats will be generated
on the basis of State Code of
eligibility filled in here.
iv. 4. If Candidate’s State of
Parental Origin and State of
Domicile is different, Choose
State of parental origin.

i. Candidate’s option for State
Quota seats will be
generated on the basis of
State Code of Eligibility
filled in here.
ii. Candidate’s option for State
Quota seats will be
generated on the basis of
State Code of Eligibility filled
in here.

STATE CODE OF ELIGIBILITY AND
DOMICILE
Description
 List of State Codes is at Appendix – IV of
Information Bulletin. For 15% All India Quota seats,
candidates may choose State Code(s) on the basis
of State to which the applicant belongs.
 Candidate’s rank in the merit list for seats under
the control of participating States will be generated
on the basis of the State Code of Eligibility filled in
by the Candidates in the application form.
 Guidelines and Rules regarding Domicile framed
by each participating State/University/Institution
shall be applicable in respect of the seats under
their control.
 Candidates who are eligible for State Quota
seats in participating States/UT ( Appendix – IV of
Information Bulletin) may fill State Code
( Appendix – IV of Information Bulletin) of the
concerned State after ensuring his/her eligibility
as per criteria prescribed by the participating State.
Note: Candidate data regarding State of Parental
Origin, State of Domicile and State of Class XIIth
Study are captured in the Application form,
however candidate eligibility for seat shall be
subject to rules of the State/University/Institutions
concerned.
iii. Select Choice of
Examination Centre

Create Password for
Candidate login
(to upload photograph,
Signature, thumb
impression etc. and
payment of fee to
generate confirmation
Page)

PAGE REVIEW
Click Here after
reading information
displayed
PAGE PREVIEW
PAGE PREVIEW
Please check the
particulars
shown in red
once again
before final
submission.
These
particulars are
not editable
once submitted.
Please enter OTP
Number which
has already been
send to your
mobile at the
time of
registration.
CONFIRM MESSAGE
Click here for Final Submission for
Step 2 and proceed for Step 3.
Click here for Edit in
Application form

Step 2 completed and proceed for Step 3
(STEP-3)
LOGIN PAGE
Entre Password which has been
created by you at a time of filling
of online application.