Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Date of Birth *

MM

DD

YYYY

Have you ever taken any Medical registration exams (USMLE, PLAB - other than the AMC)? *

Yes

No

Have you taken the AMC MCQ before? *

Yes

No

Did you take the AMC Clinical Exam before?

Yes

No

N/A

Course Enrolment *

Which courses will you be enrolling into?

AMC MCQ Exam Preparation Course (30th June 2025 - 6th July Hyderabad, TG, India)

Emergency Contact Name *

First Name

Last Name

I understand that the preparation course/s delivered by IKAS Academy is solely for my personal use and that I shouldn't distribute any material provided to me by IKAS Academy. I understand and acknowledge that IKAS Academy can assist me in my preparation for AMC MCQ/ Clinical exam/s, but neither IKAS Academy or its management guarantee me passing the AMC MCQ or AMC Clinical Exams or guarantee any Migration outcomes to Australia. *

I Understand & Agree

Date

MM

DD

YYYY