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HOMEPAGE

To familiarise Candidates with the Online Application Form of AIPMT - 2014, Replica of Application form and important instructions are given below. Candidates are advised to go through the Information Bulletin carefully and download Replica of Application Form to acquaint themselves with all requirements to submit Application Online.

HOMEPAGE OVERVIEW

INSTRUCTION PAGE

APPLICATION FORM

Choose any one either India or OCI

State to which the Applicant belong i. 1. Students from AP and J&K are not eligible for 15% All India Quota (Rule 9.1 (iii) of Information Bulletin. ii. 2. Students from AP and J&K who are domicile of other States required to submit Affidavit for 15% All India Quota seats. (Appendix II of Information Bulletin) iii. 3. Candidates option for State Quota seats will be generated on the basis of State Code of eligibility filled in here. iv. 4. If Candidates State of Parental Origin and State of Domicile is different, Choose State of parental origin.

i.

Candidates option for State Quota State seats Code of will be generated on the basis of Eligibility filled in here.

ii.

Candidates 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

iii.

Select

Choice

of

of State to which the applicant belongs. Candidates 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

Examination Centre

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.

PAGE REVIEW

Click Here after reading information displayed

PAGE PREVIEW

Please check the particulars shown in red once again before final submission. These particulars are not editable once submitted.

CONFIRM MESSAGE

Click here for Final Submission

Click here for Edit in Application form

STEP 1 - COMPLETION PAGE

Click here for uploading your photograph and signature Please note down your Registration Number for reference and for further use

CHOOSE PHOTO & SIGNATURE FOR UPLOADING

Click here for choosing your image file of photograph

Click here for choosing your signature file

UPLOAD PHOTO & SIGNATURE

Preview of your photo and Signature after choosing image files

Click here to upload your Photo & Signature

STEP 2 - COMPLETION PAGE

Please select any one mode for payment.

SELECT MODE OF PAYMENT

PAYMENT THROUGH E-CHALLAN THROUGH SYNDICATE/ CANARA BANK / POST OFFICE

SYNDICATE BANK E-CHALLAN PAGE

INDIA POST CHALLAN PAGE

CANARA BANK CHALLAN PAGE

UPDATE E-CHALLAN DETAILS AFTER DEPOSIT OF PAYMENT IN BANK OR POST OFFICE

UPDATE TRANSACTION DETAILS OF E-CHALLAN

STEP 3 - COMPLETION PAGE

CONFIRMATION PAGE GENERATED AFTER PAYMENT OF FEE THROUGH E_CHALLAN

OR
PAYMENT THROUGH ANY CREDIT/DEBIT CARD

SAMPLE PAGE FOR PAYMENT THROUGH CREDIT/DEBIT CARD

CONFIRM PAYMENT PAGE

PAYMENT GATEWAY PAGE

ENTER DETAILS OF THE DEBIT/CREDIT CARD

ENTER SECUTRE CODE/PASSWORD FOR CONFIRM PAYMENT

STEP 3 - COMPLETION PAGE

CONFIRMATION PAGE GENERATED AFTER PAYMENT OF FEE THROUGH CREDIT/DEBIT CARD

ADDRESS SLIP