NMC Guidelines for MBBS Abroad 2026: NEET, 54+12 Rule, Internship, FMGE and Admission Checklist
Under the NMC guidelines for MBBS abroad, an Indian student generally needs a NEET-qualified admission, at least 54 months of medical education, a separate 12-month internship at the same foreign medical institution, English-medium instruction, required clinical subjects and eligibility to enter the medical-registration pathway of the country awarding the degree.
After completing the foreign programme, the graduate must clear the examination mandated in India and complete the applicable supervised internship in India before permanent registration. A foreign degree, WDOMS listing, university ranking or admission letter alone does not provide the right to practise medicine in India.
The main framework remains the Foreign Medical Graduate Licentiate Regulations, 2021, supported by the Compulsory Rotating Medical Internship Regulations, official FAQs and later NMC notices. The June 2026 clarification did not replace the core regulations with a completely new admission system.
Table of Content
- NMC Guidelines for MBBS Abroad 2026: Quick Overview
- NMC Rules Applicable to MBBS Abroad in 2026
- Who Must Follow the FMGL Regulations 2021?
- Does NMC Approve Foreign Medical Universities?
- NEET Requirement for MBBS Abroad
- NMC 54+12 Rule for MBBS Abroad
- Same Institution and Same Country Rule
- English-Medium and Mandatory Subject Requirements
- Clinical Training and Teaching-Hospital Requirements
- Host-Country Medical Licensing Requirement
- FMGE or NExT: Which Examination Applies in 2026?
- Foreign Internship and Indian CRMI Requirements
- Online Classes and Physical Compensation Rules
- Transfers, Offshore Campuses and Split Programmes
- How to Check a Foreign Medical University
- NMC Compliance Scorecard for MBBS Abroad
- MBBS Abroad Admission Process Under NMC Guidelines
- MBBS Abroad Fees, Refund and Payment Safety
- Documents Required Before Admission
- Automatic Rejection Conditions
- Final NMC Checklist Before Paying Admission Fees
- Is an MBBS Abroad Degree Valid in India?
- Frequently Asked Questions
- Editorial Disclosure, Corrections and Updates
- Official Government and Regulatory Sources
A student should accept an MBBS abroad admission only when every essential NMC condition is supported by current written evidence. A university’s popularity, government ownership, WDOMS listing or six-year course claim cannot compensate for a missing internship, clinical-training or local-licensing condition.
The FMGL Regulations require a minimum 54-month medical course, a minimum 12-month internship at the same foreign institution, English instruction, mandatory subjects, local registration eligibility, the applicable Indian examination and supervised internship in India.
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The FMGL Regulations, 2021 remain the principal rules for students beginning foreign medical education in 2026. Later FAQs and notices explain specific issues but do not permit a new student to ignore the main course, internship, language, clinical or licensing requirements.
NMC’s rules page lists the FMGL Regulations, CRMI Regulations, June 2026 FAQ, February 2022 FAQ, NExT Regulations and the 13 July 2023 notice deferring NExT. Its news register separately records physical-compensation notices dated 6 and 18 March 2026.
NBEMS declared the FMGE June 2026 result on 7 July 2026 and continues to list FMGE as an active screening examination.
What Actually Changed in 2026?
The main 2026 developments concerned students whose foreign education had been interrupted or completed partly online because of exceptional circumstances.
These notices addressed:
- Physical onsite compensation
- Documentary evidence
- Transcript assessment
- Clinical-posting proof
- Passport and travel records
- Review by State Medical Councils
- Existing internship decisions
They did not create a safe route for a new student to join an online, hybrid, split-campus or future-compensation programme.
A student starting MBBS or an equivalent primary medical programme abroad in 2026 should plan on full compliance with the FMGL Regulations, 2021. Older graduates may fall under previous rules or special notices depending on their original admission date and circumstances.
An exceptional clarification for an older affected batch should not be used to market a new non-compliant medical programme.
NMC does not publish or endorse a universal list of “NMC-approved foreign medical universities.” The exact medical programme must be checked against the applicable Indian rules, even when the university is legal, government-owned or accredited in its home country.
NMC explicitly states that it does not endorse a list of foreign medical institutions and asks students to obtain the fee structure, course content, duration and internship details directly from the institution.
Common Claims and Correct Meaning
What Must Be Verified Instead
- Legal institution name
- Exact campus
- Exact medical programme
- Current permission to admit students
- Programme duration
- Internship duration
- English teaching
- Required subjects
- Teaching hospitals
- Hands-on clinical training
- Host-country medical-registration pathway
- Official fees and refund rules
Country comparison should begin only after these programme-level checks. Students can use the best-country comparison for MBBS abroad to narrow options, but the final decision must remain university-specific.
Indian citizens and OCI candidates taking undergraduate medical admission abroad must qualify NEET under the applicable Indian framework. A foreign university may admit a student without NEET under its own rules, but that does not protect the student’s future Indian medical-registration pathway.
NMC states that Indian citizens and OCI candidates seeking foreign medical admission from May 2018 onward must qualify NEET. A qualifying NEET result is treated as the eligibility certificate when the student also satisfies the applicable academic conditions.
How Long Is NEET Valid for MBBS Abroad?
NMC states that the qualifying NEET result is valid for three years from the date of declaration for pursuing an MBBS-equivalent programme abroad, including any pre-medical or language course followed by the medical degree.
A low but qualifying score does not automatically prevent foreign admission. However, the student’s PCB foundation, academic discipline and ability to prepare for the Indian licensing examination should also be assessed.
Students can compare MBBS abroad options with a low NEET score. A no-NEET offer should be assessed through the separate guide on MBBS abroad without NEET.
The NMC 54+12 rule requires at least 54 months of medical education plus a separately identifiable internship of at least 12 months. The foreign internship must be completed at the same institution that awards the primary medical qualification.
The FMGL Regulations list the medical course and internship as two separate conditions.
What 54+12 Does Not Mean
- A five-year course with internship included inside it
- Fifty-four months including internship
- Clinical rotations renamed as internship
- Eleven months rounded to one year
- Internship completed at another university
- Internship arranged by a consultant
- Internship in India instead of abroad
- Internship in a third country
- A six-year brochure without a month-wise schedule
Programme Examples
Required Timeline Evidence
Ask for:
- Programme start date
- Academic completion date
- Number of teaching months
- Vacation periods
- Examination periods
- Clinical-rotation period
- Internship start date
- Internship end date
- Department-wise internship schedule
- Separate internship certificate
Ten-Year Completion Rule
The official FMGL interpretation states that the complete foreign medical graduation course should be finished within 10 years from the date of joining.
This outer limit should not be treated as permission to plan academic gaps. Visa, accreditation, internship and registration conditions may change during a prolonged delay.
The academic course, clinical training and internship should remain under the same foreign medical institution and within the country awarding the primary qualification. Planned transfers, offshore campuses and third-country internships create serious compliance risk.
The FMGL interpretation states that the entire course, training and internship or clerkship should be completed outside India at the same foreign medical institution, with no medical training or internship completed in another country.
What “Same Institution” Requires
One legal institution should:
- Admit the student
- Deliver the academic programme
- Control clinical rotations
- Supervise the internship
- Conduct or approve assessments
- Issue the degree
- Issue the internship certificate
- Confirm the local registration pathway
The university may use affiliated hospitals, but these hospitals should form an official part of its clinical programme.
High-Risk Programme Structures
- Pre-medical course at an unrelated institution
- Theory years at one university and clinical years elsewhere
- Planned transfer after first or second year
- Foreign degree with teaching delivered in India
- Offshore branch in a different country
- Internship organised independently by an agent
- Final clinical year in India
- Internship at an unrelated hospital
- Degree issued by an institution that did not control training
The foreign medical degree must use English as the medium of instruction and include the mandatory subjects required under the FMGL framework. An English admission letter is not enough when classroom teaching, examinations or clinical instruction regularly shift to another language.
The FMGL Regulations require English as the medium of instruction and the mandatory subjects specified in Schedule I.
English-Medium Evidence
Obtain a signed programme-specific letter covering:
- Lectures
- Laboratory classes
- Practical classes
- Internal examinations
- Final examinations
- Clinical discussions
- Case presentations
- Internship instruction
- Logbooks
- Degree records
The local language may still be necessary for patient interaction. English-medium teaching does not create an English-only hospital environment.
Main Subject Areas to Map
- Anatomy
- Physiology
- Biochemistry
- Pathology
- Microbiology
- Pharmacology
- Forensic Medicine and Toxicology
- Community Medicine
- General Medicine
- Paediatrics
- Psychiatry
- Dermatology
- General Surgery
- Orthopaedics
- Anaesthesia
- Obstetrics and Gynaecology
- ENT
- Ophthalmology
- Emergency services
- Laboratory services
The student should obtain a subject-mapping table showing the foreign course name, semester, credits and clinical component for each required area.
NMC compliance requires practical and hands-on clinical training comparable with Indian MBBS education. Campus photographs, simulation centres and hospital logos do not prove patient exposure, suitable batch size or direct participation in clinical work.
The FMGL framework requires theoretical, practical and clinical training comparable with Indian MBBS education, including hands-on internship exposure across major clinical subjects.
Clinical Evidence to Request
- Teaching-hospital names
- Hospital ownership or affiliation
- Affiliation validity
- Bed strength
- Outpatient volume
- Emergency-patient volume
- Approved student intake
- Actual international intake
- Students per clinical group
- Start year of rotations
- Department-wise schedules
- Procedures students may perform
- Patient-language training
- Logbook
- Practical-assessment method
Rotation, Clerkship and Internship Are Different
A university cannot safely replace the required internship with scattered clinical postings across several semesters.
Batch-Size Risk
A university may have recognised hospitals but weak clinical exposure if too many students share each case.
Ask:
- How many students attend one clinical unit?
- How many share one patient?
- Can foreign students take patient histories?
- Can they assist with procedures?
- How many hours are physically spent in hospitals?
- Is attendance recorded?
- Are clinical skills formally assessed?
The foreign medical qualification must place the graduate within the registration or licensing pathway of the country awarding the degree, at par with its own citizens. “Globally recognised” is not an adequate answer when a foreign graduate cannot enter that country’s professional pathway.
The FMGL Regulations require the graduate to be registered with the relevant professional regulatory body, or otherwise be eligible for the licence granted to citizens of the country where the degree is awarded.
Questions to Answer Before Admission
- What professional status follows the degree?
- Can an international graduate apply for registration?
- Is a national licensing examination required?
- Is the examination available to foreign citizens?
- Is a separate internship required?
- Is residency compulsory for basic practice?
- Is residency required only for specialisation?
- Is the local language compulsory?
- Which regulator issues the licence?
- What official document proves eligibility at par with local graduates?
Acceptable Evidence
- Current professional law
- Medical regulator’s guidance
- University’s programme-specific explanation
- Licensing-examination rules
- Eligibility rules for foreign citizens
- Language requirements
- Internship rules
- Sample registration certificate
Automatic Warning Phrases
Pause the admission when the only answer is:
- WHO approved
- WDOMS listed
- Globally recognised
- Accepted worldwide
- No local licence required
- NMC approved
- Licence is irrelevant for Indian students
These statements do not answer the legal requirement.
FMGE remains the operational examination for foreign medical graduates as of 31 July 2026. NMC has notified NExT Regulations, but NExT has not operationally replaced FMGE. Students entering in 2026 should follow the current FMGE framework while accepting that the mandated examination may change before graduation.
NMC’s official rules page lists the NExT Regulations and the 13 July 2023 notice deferring the NExT examination.
NBEMS accepted applications for FMGE June 2026 and declared the result on 7 July 2026, confirming that FMGE remained operational.
What Should a 2026 Student Prepare For?
Select a programme with:
- Strong basic sciences
- Regular internal examinations
- Clinical reasoning
- Hands-on patient exposure
- English medical terminology
- Indian disease-pattern preparation
- Early screening-examination preparation
- Consistent academic discipline
For university- and country-level historical evidence, review the FMGE results and foreign university performance.
A new foreign medical graduate should plan for both the required internship abroad and the applicable supervised internship in India. The Indian internship does not replace a missing foreign internship, and the foreign internship does not automatically remove the Indian CRMI requirement.
The FMGL Regulations require a minimum 12-month internship at the same foreign institution and a minimum 12-month supervised internship in India before permanent registration requirements are completed.
Typical Registration Journey
Foreign Internship Documents
Collect:
- Internship admission order
- Start and end dates
- Department schedule
- Attendance
- Duty hours
- Hospital names
- Clinical logbook
- Supervisor signatures
- Assessment records
- Completion certificate
- University authentication
- Regulator verification where available
Passing FMGE does not itself issue permanent registration. The graduate must follow the applicable State Medical Council and NMC process.
Online medical education can trigger additional evidence checks and physical onsite compensation requirements. A new student should not join a programme designed around online theory, virtual clinical training or a promise that missed physical classes will be adjusted later.
NMC recorded mandatory physical onsite compensation notices on 6 and 18 March 2026 for foreign medical students whose studies had been completed online.
The June 2026 FAQ is listed under the FMGL section of NMC’s current rules page and addresses evidence and case assessment for affected students.
Evidence That May Be Examined
- Official transcript
- Online-study dates
- Physical-compensation dates
- Subjects completed
- Clinical-posting records
- Practical-training records
- Attendance
- Passport movement
- Internship evidence
- University certification
New-Admission Decision
Reject an offer when:
- One or more semesters are planned online
- Clinical sessions are virtual
- The student will remain in India during teaching periods
- Attendance can be completed remotely
- Practical training is simulation-only
- Future compensation is promised
- The course is advertised as hybrid
Special relief for affected existing students is not a safe 2026 admission model.
Transfers and split programmes are among the highest NMC risks. Students should not join with a plan to change universities, move countries, study at an offshore campus or complete internship through a separate institution.
The FMGL framework requires continuity at the same foreign institution and within the country awarding the degree.
NMC has also issued a foreign-admission advisory warning students about offshore or contractor-linked arrangements that may conflict with the FMGL requirements.
High-Risk Offers
- Start here and transfer later
- First years in one country, clinical years elsewhere
- Final year at an Indian partner centre
- Internship arranged after graduation
- Degree from a parent university but teaching elsewhere
- Offshore medical campus
- Credit-transfer pathway
- Agent-controlled hospital placement
- University name to be changed after joining
Contract Protection
The education agreement should state:
- One legal university
- One exact programme
- One campus
- One country
- All academic years
- All clinical years
- Internship responsibility
- Degree-awarding authority
- No compulsory transfer
- Refund if the structure changes
Do not ask only whether a university is “NMC compliant.” Verify the country, institution, programme and student agreement separately. The exact programme should be shortlisted only after all academic, clinical, regulatory and financial evidence is available.
Four-Level Verification
Country-Level Checks
- Medical-education regulator
- Accreditation authority
- Institution-licensing system
- Foreign-student admission rules
- Medical-registration pathway
- Foreign-citizen eligibility
- Internship law
- Residency requirement
- Licensing-examination language
Institution-Level Checks
- Legal name
- Campus
- Ownership
- Current accreditation
- Permission to teach Medicine
- Permission to admit foreign students
- Approved intake
- Teaching hospitals
- Current government or Embassy advisories
- Branch-campus status
Programme-Level Checks
- Exact programme title
- Degree title
- Minimum 54-month academic period
- Separate 12-month internship
- English delivery
- Mandatory subjects
- Clinical rotations
- Internship departments
- Same-institution control
- Local licensing eligibility
Country-specific guides can help with the initial screening:
Every essential requirement should receive a documented “yes.” A high overall score cannot compensate for a failed NEET, internship, same-institution, English-medium or host-country licensing condition.
How to Read the Result
Every essential answer is “Yes”:
Continue to the university, cost and student-profile comparison.
Continue to the university, cost and student-profile comparison.
One essential answer is “No”:
Stop the admission.
Stop the admission.
One answer is “Not confirmed”:
Pause payment.
Pause payment.
Agent says it will be managed later:
Treat it as “No.”
Treat it as “No.”
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Upload the offer letter, curriculum, internship plan and fee letter for a document-based review.
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The safe admission process begins with NEET and regulatory checks—not seat booking. Application and payment should happen only after the programme, internship, hospitals, licensing route, complete fees and refund terms have been documented.
Correct Order
- NEET eligibility
- Profile and budget assessment
- Country comparison
- Programme verification
- Internship verification
- Hospital review
- Local licensing review
- Complete cost calculation
- Refund-policy review
- Application and payment
Common Admission Mistake
Many families pay a booking amount first and investigate the programme later.
The safer process is to review the evidence before the first non-refundable payment.
NMC does not approve a foreign university’s tuition, hostel charge or consultant package. Families should obtain the complete fee structure from the legal institution and calculate the full course cost before paying.
NMC advises students to confirm fees, course details, duration and internship directly with the foreign institution.
The Fee Letter Should Show
- Legal institution name
- Exact programme
- Campus
- Admission cycle
- Annual tuition
- Total tuition
- Payment currency
- Annual increase clause
- Hostel
- Food
- Insurance
- Visa support
- Clinical charges
- Internship charges
- Examination charges
- Graduation charges
- Refund deductions
Commonly Missed Costs
- Application processing
- Invitation letter
- Translation
- Apostille or legalisation
- Visa extension
- Residence permit
- Medical tests
- Health insurance
- Laboratory charges
- Clinical charges
- Local-language classes
- Internship
- Licensing examination
- Graduation documents
- Flights
- FMGE preparation
- Bank-transfer fees
- Emergency reserve
The first-year package should never be presented as the complete cost. Families can use the guide to check complete MBBS abroad fees.
Payment Safety Rules
Pay only when:
- The beneficiary is the legal institution
- The invoice names the exact programme
- The academic cycle is written
- The fee matches the agreement
- Refund conditions are signed
- The university will issue a receipt
Stop when:
- Payment is requested in a personal account
- The official invoice is refused
- Consultancy and tuition are combined
- Scholarship terms are verbal
- Refund is described only as “case to case”
- The seat deadline prevents basic verification
Students need personal admission documents and university compliance documents. Most families collect the personal papers but fail to preserve the academic, clinical and regulatory evidence required later.
Student Documents
- Class 10 marksheet and certificate
- Class 12 marksheet and certificate
- NEET scorecard
- Passport
- Birth certificate
- Photographs
- Medical fitness certificate
- Health reports where required
- Sponsor or financial records
- Visa documents
- Insurance
University Compliance Documents
- Legal registration
- Institutional accreditation
- Programme accreditation
- Approval to teach Medicine
- Permission to admit foreign students
- Full curriculum
- Academic calendar
- English-medium letter
- Subject-mapping table
- Approved intake
- Teaching-hospital list
- Clinical rotation plan
- Internship policy
- Local licensing explanation
- Sample degree
- Sample internship certificate
- Official fee letter
- Refund policy
- Education agreement
Name Consistency
The same legal institution name should appear on:
- Offer letter
- Agreement
- Invoice
- Payment receipt
- Visa invitation
- Student registration
- Transcript
- Degree
- Internship certificate
Differences involving a branch, contractor, campus or associated institute require written clarification.
One material failure involving NEET, duration, internship, continuity, language, clinical training or licensing is enough to reject the programme. These are not minor issues that can safely be repaired after graduation.
Reject or pause admission when:
- NEET is not qualified
- NEET validity is unclear
- Academic duration is below 54 months
- Foreign internship is below 12 months
- Internship is included within the 54 months
- Internship will be completed elsewhere
- A future transfer is planned
- Training is split between countries
- A planned online component exists
- An offshore campus is involved
- Degree and teaching institution differ
- English-medium delivery cannot be proved
- Mandatory subjects are missing
- Teaching hospitals cannot be named
- Clinical exposure is observation-only
- Approved intake is hidden
- Foreign graduates cannot enter local licensing
- Residency conditions are hidden
- The programme cannot be completed within the permitted period
- “NMC approved” is used as a sales claim
- FMGE or NExT success is guaranteed
- Indian registration is guaranteed
- Payment is requested personally
- Official fee letter is unavailable
- Refund terms are missing
- Documents will be provided only after payment
Do not make a major payment until every question below has a documented answer. Country popularity, WDOMS, ranking, FMGE percentage or an agent’s assurance cannot replace a missing regulatory condition.
A foreign medical degree can support registration in India only when the graduate satisfies the full pathway applicable under NMC rules. The degree itself is an academic qualification—not an automatic licence to practise medicine in India.
For a new applicant, the expected pathway includes:
- NEET-qualified foreign admission
- Legally authorised foreign medical programme
- Minimum 54 months of medical education
- Separate 12-month foreign internship
- Same-institution and same-country continuity
- English-medium instruction
- Required subjects and clinical exposure
- Host-country registration or licensing eligibility
- Examination mandated in India
- Applicable supervised internship in India
- Permanent registration through the competent authority
The FMGL Regulations prohibit a foreign medical graduate from practising medicine in India without permanent registration.
A degree may be valid in its country, listed in a directory and accepted for further education elsewhere, yet still fail the Indian registration pathway if an essential FMGL condition is missing.
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What are the latest NMC guidelines for MBBS abroad in 2026?
The main framework remains the FMGL Regulations, 2021, supported by CRMI Regulations, official FAQs and later notices.
The key conditions include NEET, the 54+12 structure, English teaching, clinical subjects, host-country licensing and the Indian examination and internship pathway.
FAQs
Were completely new NMC rules introduced in 2026?
No completely new regulation replaced the FMGL Regulations, 2021.
The main 2026 updates addressed physical compensation, evidence and affected existing foreign medical students.
Is NEET compulsory for MBBS abroad?
Yes, for Indian citizens and OCI candidates covered by the current rules.
A foreign university’s local admission policy cannot remove the Indian NEET requirement.
How long is NEET valid for foreign medical admission?
NMC states that the qualifying NEET result is valid for three years from the declaration date for an MBBS-equivalent course abroad.
Can I study MBBS abroad with a low NEET score?
Yes, when your official scorecard shows that you qualified.
Your PCB foundation, budget and academic readiness should also be reviewed.
Can I study MBBS abroad without NEET?
A foreign institution may admit you locally, but that does not protect your Indian registration pathway.
Do not rely on a no-NEET promise.
Does NMC provide a list of approved foreign universities?
No.
NMC states that it does not endorse a universal list of foreign medical institutions.
What does the NMC 54+12 rule mean?
It means at least 54 months of medical education plus a separate internship of at least 12 months.
Both must satisfy the other FMGL conditions.
Can internship be included inside a five-year programme?
Do not assume this.
The programme must separately prove at least 54 academic months and a 12-month internship.
Is every six-year course NMC compliant?
No.
The programme must still prove its academic-internship split, subjects, English teaching, clinical work and local licensing.
Must internship be completed at the same university?
The required foreign internship should be completed at the same foreign medical institution that awards the primary qualification.
Can I complete the required foreign internship in India?
The required foreign internship should not be replaced by Indian internship.
The Indian CRMI is an additional stage under the applicable pathway.
Must I complete an internship in India as well?
A new applicant governed by the FMGL Regulations should plan for the applicable supervised internship in India in addition to the foreign internship.
Can I transfer to another foreign medical university?
A planned transfer creates conflict with the same-institution requirement.
Do not join a programme based on a future transfer.
Can I study the medical course in two countries?
A split-country programme creates serious compliance risk.
The course and internship should remain in the degree-awarding country.
Are offshore medical campuses safe?
They are high risk when teaching or clinical training occurs outside the degree-awarding institution or country.
NMC has warned students about offshore and contractor-linked arrangements.
Must the entire course be taught in English?
The foreign degree must use English as its medium of instruction.
Obtain a programme-specific letter covering lectures, examinations, practicals and clinical teaching.
Do I still need to learn the local language?
Usually yes.
The local language is often necessary for patient histories, hospital communication and local licensing.
Is WDOMS listing enough?
No.
WDOMS does not prove duration, internship, English teaching, clinical quality or local licensing.
Is FMGE still conducted in 2026?
Yes.
NBEMS declared the FMGE June 2026 result on 7 July 2026.
Has NExT replaced FMGE?
No, not operationally as of 31 July 2026.
NMC’s rules page lists the notice deferring NExT, while NBEMS continues to conduct FMGE.
Can the examination change before I graduate?
Yes.
Students entering a long programme should be prepared for the examination system applicable when they return.
Are online classes accepted?
Affected existing students may face physical-compensation and document-review requirements.
A new student should not join a planned online or hybrid medical programme.
Does a government foreign university automatically meet NMC rules?
No.
Government ownership does not prove internship, English delivery, clinical quality or licensing eligibility.
What should I obtain before paying admission fees?
Obtain the programme approval, curriculum, academic calendar, internship policy, English-medium letter, hospital list, licensing explanation, fee letter, refund policy and education agreement.