Details of information to be furnished during filling the online application form:
Upload Scanned Images of the Photograph & Signature: The scanned images of Photograph and Signature should be in ‘jpg format’ only and it should be less than 1 MB.
- Measurement of picture: 3.5 cm (Width) x 4.5 cm (Height) only.
- Measurement of Signature picture: 3.5 cm (Length) x 1.5 cm (Height) only.
Candidate’s Name: Write your full Name (as it appears in the 10th class marks sheet), Please use a blank space between initials. Do not use any titles like Mr., Miss/Ms.
Gender: Select the appropriate gender Male / Female.
Parent’s Name: Write your Parents names (Father Name / Mother Name)
Date of Birth: Provide your date of birth in DD/MM/YYYY format only.
For e.g.: If your date of birth is 09th October 1985, fill as 09/10/1985
By Birth/Domicile: If you belong to Karnataka by birth / domicile, please select KARNATAKA otherwise NON-KARNATAKA
Category if any: Enter the Category you belong to
- For Karnataka candidates: Select the category you belong to: General, SC, ST, OBC (Cat.1, Cat.2A, Cat.2B,, Cat.3A, Cat.3B) or Locomotor Disability.
- For Non – Karnataka candidates: Select the category you belong to: General, SC, ST or Locomotor Disability.
Nationality: Please mention your nationality.
Address: Provide your correct postal address for communication. Note that all formal communications from BLDE University will be sent to you at this address only. Please use blank spaces to separate words. Avoid short form such as rd, th, st etc. Avoid Roman letters in your address. Specify the name of your city, state and Pin-code in the columns provided only; do not mention your city name in the space provided for address. The University shall not be responsible for loss of documents en-route.
Land Line Phone No: Please enter your Phone number with the STD Code (for eg. 08352-262770)
Mobile No: Enter the correct Mobile number (for eg. 09449000000) in the box provided
Email Id: Enter your correct Email ID. Note that all formal communications from BLDE University will be sent to you at this Email address only, you have to log on to the website for regular updates.
Selection of Test Centre: You have to select the Test Centre from the available centres.
Month and Year of Passing MBBS: Please enter month and year of passing (for eg. January, 2011 can be entered like first box 01, then next box 2011).
Month and Year of Completion of Internship:: Please enter month and year of passing (for eg. March, 2012 can be entered like first box 03 then next box 2012).
MBBS Phase wise % and Attempt: Please enter phase wise % and attempts taken to pass the examination (for eg. Phase I passed with 65% in first attempt, can be entered like first box 65 then next box 1).
University Name: Please enter the University name.
Information of Medical College: Enter the full name of the college, Address of the college, PIN, District, State, Phone no. with STD code.