BARBADOS OFFICE

Chelsea House, Chelsea Road, Bridgetown, Barbados

INDIA OFFICE

BIU, #407, Tower B, Global Business Park, Gurudhronacharya Metro station, MG Road, Gurgaon, Haryana.

University +1 (246) 285-3384

Toll-Free 1800-889-6911

Email Us info@biuuniversity.org

WhatsApp Us +1 (246) 285-3384

BIU APPLICATION FORM

PROGRAM

PREMED
MD

APPLICATION TYPE

NEW ADMISSION
TRANSFER

PERSONAL INFORMATION :

GENDER

MALE
FEMALE

MARITAL STATUS

SINGLE
MARRIED
DOB
PASSPORT NUMBER
PASSPORT EXPIRY DATE
ENTER PERMENANT ADDRESS
ENTER PRESENT ADDRESS
EMAIL ID
PHONE NO
LANGUAGES SPOKEN

ACADEMIC INFORMATION :

HIGHEST DEGREE EARNED
SCHOOL WHERE HIGHEST DEGREE WAS EARNED
CURRENT UNIVERSITY/COLLEGE (for transfer students)
ACADEMIC GRADE POINT AVERAGE (GPA)

HAVE YOU TAKEN THE NEET OR MCAT EXAM?

YES
NO
NEET/MCAT EXAM SCORE:

HAVE YOU TAKEN AN ENGLISH PROFICIENCY TEST?

TOEFL
IELTS

Not taken an

English Proficiency Exam
TOEFL/IELTS SCORE:

LIST SCHOLARSHIPS, AWARDS, DISTINCTIONS OR SPECIAL ACADEMIC ACHIEVEMENTS:

COMMUNITY SERVICE/VOLUNTEER WORK AND EXTRA-CURRICULAR ACTIVITIES:

HOBBIES:

ADDITIONAL INFORMATION:

1. DO YOU HAVE ANY PHYSICAL DISABILITY/DISABILITIES?

2. DO YOU HAVE ANY MEDICAL CONDITION(S) THAT MAY REQUIRE SPECIAL ATTENTION DURING MEDICAL SCHOOL?

3. DO YOU HAVE ANY HISTORY OF MENTAL OR EMOTIONAL ILLNESS OR LEARNING DISORDER?

4. HAVE YOU EVER TAKEN ANY PRESCRIPTION DRUGS FOR ANY MENTAL OR EMTIONAL ILLNESS OR LEARNING DISORDER?

5. HAVE YOU EVER HAD A LICENSE DENIED, SUSPENDED OR REVOKED BY ANY REGULATORY AGENCY?

6. HAVE YOU EVER BEEN DISCIPLINED OR DISMISSED BY AN ACADEMIC OR PROFESSIONAL COMMITTEE OR DENIED ADMISSION BY ANY PROFESSIONAL ORGANIZATION?

7. HAVE YOU EVER BEEN CHARGED WITH OR CONVICTED OF FELONY?

8. WILL YOU DEPEND ON STUDENT LOANS TO FINANCE YOUR MEDICAL EDUCATION AT BRIDGETOWN INTERNATIONAL UNIVERSITY?

9. HAVE YOU PREVIOUSLY ATTENDED A MEDICAL SCHOOL?

10. HAVE YOU EVER BEEN DISCIPLINED OR DISMISSED FROM ANY ACADEMIC INSTITUTION?