Rotation registration USMLEsarthi
Fill up this Form ONLY AFTER we have confirmed that your rotation is available AND after you have paid the application fee. Forms submitted without application fee will not be considered.
Sign in to Google to save your progress. Learn more
Full name (as on Passport) *
Email address *
Contact number with country code *
Note:
Join our telegram group where you will meet other rotation students, can discuss housing, logistics and get prepared for your upcoming rotation. Link https://t.me/joinchat/iqwX3rWvf9ZiNjhh 
Rotation Details:
Please read the description on the website. For the one you are interested in, clearly mention the location code from website, city and type of rotation (like Tele, hands-on etc)


Please write the Location Code of your rotation. (on Sarthi site, starts with an 'L') *
City/State of Rotation *
Type of Rotation *
Required
Speciality *
Approximate date in which you want to start rotation *
MM
/
DD
/
YYYY
Approximate month in which you want to start rotation *
Duration of Rotation *
Required
Pleasae let us know which Visa Invite letter you need? *
Required
Do you need help with Visa paper work at your local consulate/Embassy ?
Clear selection
Do you need any housing assistance for this rotation? Please visit our website for some housing suggestions. https://residencymatch.usmlesarthi.com/housing
Clear selection
Year of Graduation
*
Season you intend to Match *
Will you be a medical student at the time of your rotation? *
Step 1 Score (Marks / pass / Fail/ Not taken)
*
Step 2 CK score (If not taken mention "Not taken")
*
Step 3 score (If not taken mention "Not taken")
Name of Medical School 
*
Country of Medical School
If you have done prior USCE (Mention total number of months)
Any other notes
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Weebly Email Service. Report Abuse