Application form for Medical Study in Russia:

 

Surname *  
Name *  
Fathers Name  
Father's Occupation  
Mailing Address *  
Telephone(With Code)*  
Fax  
Email *  
Citizenship  
Date of Birth  
Place of Birth  

EDUCATIONAL RECORD

SSC

Year of Passing  
Marks Obtained  

HSC

Year of Passing  
Marks Obtained  

MBBS/BDS

Year of Passing  
Marks Obtained  

COURSE PREFERENCES

Course Interested in  
MBBS/Graduation in  
Name of Preferred Institution *  
Medium of Instruction *  English                Russian
PROVIDE A COPY OF YOUR PASSPORT
 
  • only the pages with personal photograph and expiry date are required
  • Copy  of SSC HSC certificate
  • for more information contact : info.sac@gmail.com