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

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.

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

(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.

PAGE REVIEW

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)

Click Here after

reading information

displayed

PAGE PREVIEW

PAGE PREVIEW

Please enter OTP

Number which

has already been

send your mobile

at a time to

registration of

candidate.

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 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.

LOGIN PREVIEW PAGE

Click here for uploading

your photograph and

signature

Please note down your Registration Number for

reference and for further use.

CHOOSE PHOTO, SIGNATURE, LEFT HAND THUMB IMPRESSION AND

SELF DECLERATION (If candidates from Andhra Pradesh, J & K and Telangana

who have opted for seats under 15% All India Quota)

FOR UPLOADING

Click here for choosing your image

file of photograph

Click here for choosing your

Signature file

Click here for choosing your Left

Hand Thumb Impression file

Click here for choosing your upload self Declaration file (If candidates from Andhra

Pradesh, J & K and Telangana who have opted for seats under 15% All India Quota)

PREVIEW

Preview of

your photo,

Signature and

Left Thumb

Impression

after choosing

image files

Click here to upload your Photo, Signature &

Left hand Thumb Impression

Step 3 completed and proceed for Step 4

STEP - 4

SELECT MODE OF PAYMENT

Please select any one mode

for payment.

PAYMENT THROUGH E-CHALLAN THROUGH SYNDICATE/ ICICI /HDFC / SBI

SYNDICATE BANK E-CHALLAN PAGE

ICICI BANK

HDFC BANK

STATE BANK OF INDIA

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 4 - COMPLETION PAGE

Click here for proceed Step 5

to generate the confirmation

Page.

Step 4 completed and proceed for Step 5

Step – 5

(Not required to send the Confirmation Page to CBSE)

CONFIRMATION PAGE GENERATED AFTER PAYMENT OF FEE