Application form for JIPMER MD/MS Entrance Examination-July 2017 Session
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1. Fields marked with * are mandatory.
2. Fill in the details and click on Submit to proceed.
3. Kindly use Internet Explorer(version 9 to 11) or Mozilla Firefox(14 to 51) or Google Chrome(20 to 56) to fill in the Application Form.
4. After successful payment you will receive User Name and Password to the registered Mobile number and Email ID.
5. Please read the Prospectus carefully before filling this application.
6. Login link will be sent to the registered Email ID.
7. Click on the login link to fill the application.
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XII Standard Examination Results |
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XII Standard Examination Marks |
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Note : | The test city preference is only indicative and subject to change.
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Upload scanned documents |
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*Please
upload Marksheet/Pass Certificate of XIIth Board examination here
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Name and Address of the School/College |
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Please make sure that the Application fee is paid during (Nextday-date) to 18/05/2014 through link given at IGRUA website(http://www.igrua.gov.in/Entrance/announcements.htm) / Email after due approval of your application.
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Note : | The test city preference is only indicative and subject to change.
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Upload scanned documents |
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*Please
upload scanned copies of your Photo & Signature here
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Entrance Exam Preference |
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*Please choose the zone where you want to appear for the Online Examination |
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Fee Submission Details |
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1. For 11th and 12th class student : Any one of original 10th marks/admit card or any government photo id proof is mandatory to bring on exam day.
2. For 10th class student : Any one of original School identity card with photograph/Government photo id proof/Verification details of applicant on school letter head with principal sign and stamp and a cross signed photograph pasted on it is mandatory to bring on exam day.
3. Extra photographs have to be bought on exam day and will be used only for undertakings.
4. Note : If any details provided in the form do not match with photo identity card, then candidate will not be allowed entry to exam hall.
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Please submit the form and download the challan. With the printed Challan please go to the bank and get the challan stamped and get the Payment transaction number. Once you comeback, login again using your user id and password to populate the Transaction number and Transcation date in the form. You are to submit the Bank copy at the bank and retain the University copy and Candidate copy with yourself.
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Credit Card/Debit Card/ NetBanking |
TO PROCEED WITH PAYMENT
PLEASE VERIFY THE DETAILS BELOW BEFORE GOING TO PAYMENT
GATEWAY
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Please
quote your Transaction ID for any queries relating to this
request.
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Note : | The test city preference is only indicative and subject to change.
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Upload scanned documents |
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*Please
upload scanned copy of your Challan here
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In Case of Offline payment- Please download the challan after submitting the form and visit the nearest SBI bank branch to complete the payment. After the payment has been made, please login again and upload scanned copy of challan and fill in the journal details. |
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I declare that the information provided in this application form are true to the best of my knowledge and belief. I understand that if it is found that I do not meet the eligibility norms at any point of time, the university reserves the right to reject my candidature for admission.
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Version 13.08.02
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