NMAT Certificate of Waiver

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This waiver certifies that you voluntarily decided to discontinue taking the National Medical Admission Test (NMAT). Submitting this form automatically waives the reporting and release of your NMAT results. Your responses to the testing website will NOT be processed and NO official NMAT results will be released to you nor included in the masterlist.

Email *

Full Name (Last Name, First Name, Middle Name) *

NMAT Application Number *

Test Date *

YYYY

Reason for discontinuing the test *

I certify that the information contained in this form is true and correct. I understand that any false statements will render my submission void. [This form will only be honored if you have been advised by your Proctor to accomplish and submit it.] *

AGREE

Required

A copy of your responses will be emailed to the address you provided.

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