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Application Form

Apply to AISM — Start Your Journey

Thank you for choosing AISM as a step toward your medical career. This preliminary application form allows you to submit your basic information and pay the application fee, after which you’ll receive the full application form via email.

Please complete each section below and ensure the information is accurate.
1
Personal Information

Full Name (First, Middle, Last)*

Date of Birth*

Gender*

Nationality*

Phone Number (with country code)*

Email Address*

Mailing Address*

Please provide your basic details so we can reach you and verify your identity.

2
Educational Background

High School Name*

Location*

Year of Graduation*

College or University*

Major/Program*

Please provide your educational background details.

3
Program of Interest

Intended Program*

Preferred Start Date*

Are you applying as a transfer student?*

Please provide details about the program you're interested in.

4
Application Fee Payment

To proceed with your application, please complete the non-refundable application fee payment of 150 USD.

Once we receive your payment, you'll receive the full application form via email, which will require additional details and supporting documents.

*Note: This fee is non-refundable and covers the review of your application materials.

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American InternationalSchool of Medicine

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