CHECK LIST for Online Application AIIMS-2017

Particulars to be filled in the Online Application Form 

for

AIIMS-2017

Personal Details

All entries should be as recorded in Secondary School Leaving Certificate or equivalent Exam

¨ Full Name

¨ Father’s Name

¨ Mother’s Name

¨ Date of Birth (dd/mm/yyyy)

¨ Gender (Male/Female/Third gender)

¨ Category (All OBC creamy layer candidate will be considered as General)

¨ OPH (Y/N)

¨ Nationality (Indian/OCI/Other)

¨ State of Domicile

[Bring along this ID proof at the time of Exam]

¨ ID Proof (12^th Board Admit Card)

¨ ID No

¨ Place of Issue

¨ Issue Date

¨ Valid Till

¨ Language in which Question paper is desired

¨ Have you appeared at AIIMS Entrance Exam earlier?  (N/Y)

Contact Details

¨ Email ID

¨ Mobile No (Enter only 10 digit mobile no without ‘0’ or ‘+91’)

¨ Alternate No (Mobile / Landline-with STD code)

Payment Details

A candidate can pay the registration fee through

¨ Net Banking (SBI)

¨ Cards => State Bank ATM-cum-Debit Card / Other Banks Debit Cards / Credit Cards

To pay Registration fee through Credit/Debit Card, you have to enter the information asked for

¨ Select the type of card

¨ Card No

¨ Name on Card

¨ Purchase Amount

¨ Word Verification (Type the word you see in the given picture) then press PAY button and you asked for

¨ 3D Secure Password

To pay Registration fee through Net banking, you should Login with your Credentials

¨ User Name

¨ Password and then click on Submit button to proceed for payment

Remember to take Printout of Payment Receipt clicking on Print button, as a proof of successful payment of Registration Fee.

City Choice

After successful Payment of Fee proceed for choice of Exam City by clicking on Proceed button

¨ Select State (Delhi NCR / Odisha / Manipur / Puducherry etc)

After selection of State, you have to select one city as per the real time status of seats available in a city.

¨ Select City

Qualification and Address Details

Educational Qualification

¨ Qualifying Exam

¨ Qualifying Exam Status

¨ Class 12^th Roll No

¨ Exam Board Name

¨ State Name

Scoring Scheme (Percentage / CGPA)

¨ Exam Passed

¨ Marks Obtained

¨ Maximum Marks (Out of 400 in English, Chemistry, Physics, Biology in 10+2)

¨ Percentage

Address Details

Permanent Address                                                       Correspondence Address

¨ Address Line 1                                                           ¨ Address Line 1

¨ Address Line 2 #                                                        ¨ Address Line 2 #

¨ Address Line 3 #                                                        ¨ Address Line 3 #

¨ Country                                                                    ¨ Country

¨ State                                                                         ¨ State

¨ City                                                                          ¨ City

¨ Pin Code                                                                   ¨ Pin Code

Image Details

Scanned Images desired to be uploading in the online application in .jpg/jpeg format are:

¨ Recent passport size color Photograph without border (3.5 cm x 4.5 cm) (size of 10 to100 kb)
¨ Signature (6 cm x 3 cm) (size of 10 kb to 50 kb)
¨ Left Hand Thumb Impression (4 cm x 3 cm) (size of 3 kb to 20 kb)

Printout of Registration Form

¨ Candidate must take print of Registration Form, once all steps of registration are completed successfully. Click on Submit button, it will take you to next three buttons as PRINT / BACK / FINAL SUBMIT. Click on PRINT button and take printout of Registration Form with detail information what you have inputted. 

Then click on FINAL SUBMIT. Candidate shall get an Acknowledge Mail from AIIMS having Unique Registration No. on click of Final Submit button. If Final Submission of registration form is not done, Acknowledge mail will not be sent and registration will be treated as Incomplete.