PG Medicine – VR Educational Consultancy

First Name*

Last Name*

Prefered Course*

Preferred Country*

Work Experience

Intake*

Intermediate Pass Out Year and %*

UG/PG Specialization, Pass-out Year and %*

Xth Passout Year and %*

GRE/GMAT/SAT Score

English Profiency Score

Inter English Marks Average for 2years (if applying for waiver)

NEET Score

NEXT Qualified* Yes No

MBBS/MD Pursued Country *

Current City*

No. of Backlogs in Degree*

Email*

Do You require Loan or Financial Guidance* Yes No

State*

Mobile Number*

Do you have any Questions for Mentors? If yes please specify

Are you a Student /Working Professional*

VR Educational Consultancy