Need Based Limited Term Loan for Medical Graduates (NBLTLMG)

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nagy-loan-application-form

Please read FAQs before applying for the loan program at faqs

Personal Info:

First Name

Last Name

Phone Number

Date of Birth

Permanent Address

Temporary Address

Father Name

Father's Occupation

Monthly Household Income

USSHAPE uses a few variables to determine that. For example a household with monthly income of Pakistani Rupees 100k with one Child may not be eligible for the loan but 150k income with five members may be eligible. Due Diligence is done by the team.

In case of false or incorrect information or non-disclosure; legal action will be taken accordingly in USA as well as in country of origin.

Upload Last Three Electric Bills

Electric Bill 1

Electric Bill 2

Electric Bill 3

Passport Number

Bank Account Number (IBAN)

Swift Code

Have you applied for a loan from any other organization such as your medical college, alumni, or any physician working in the USA or Pakistan?

Nationality/Permanent Residency/Work Permit of any country other than Pakistan

Have you travelled internationally for personal or professional reasons to attend conferences or to do electives?

Describe briefly why you should be considered

Educational Info:

Medical College Name

Only students who graduated from government medical colleges are eligible

Graduation Year

1st Professional MBBS Grade

2nd Professional MBBS Grade

3rd Professional MBBS Grade

Final Professional MBBS Grade

Upload Character Certificate from Medical College:

Other Qualifications (if any):

Awards & Honors (if any):

USMLE Scores:

Step 1

Score

Attempt

Step 2 - CK

Score

Attempt

Step 2 - CS

Score

Attempt

Step 3

Score

Attempt

NOTE:

Physicians who graduated within last three years can apply for this program.
A physician or medical student who has done elective/observership/externship in USA is NOT eligible for loan.
Any MPH, PhD. Research or any other healthcare higher studies candidates are not eligible for this loan.
You will start paying back $500 a month starting first month of internship.
No one who has working permit to work in USA is eligible for loan.
Any overseas Pakistani who went to do MBBS in Pakistan is not eligible for this loan
USSHAPE only offers loan once. If get unmatched; it will be your own responsibility to arrange finances for next match.
This is a loan and must be paid back whether you don’t get matched or your visa is rejected. However we are here to help you and make things easier for you! Installments will be made easier according to circumstances.

Disclaimer:

usshape.org

USSHAPE

Electronic Signature (Type Full Name):

I agree to all terms and conditions and will provide accurate information.