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KUNAL SINGH
| Updated on Oct 12, 2026 17:05 IST
The National Medical Commission (NMC) released a notification on 7 April 2026, specifying the time duration for which MBBS fee charging is permissible.
It highlights the cases of medical institutes charging MBBS fees for periods beyond the duration of the academic study of the MBBS program. It describes the differences between the 4.5 year academic study and the 1 year Compulsory Rotating Medical Internship (CRMI).
Aspirants are advised to read the full text available at the NMC website for more information.
For students and parents, the main point is to understand what the official fee structure covers and to check it against the applicable NMC requirements.
According to the NMC notice, the MBBS programme consists of:
The notice was issued in the context of institutions charging fees for five or five-and-a-half years. The NMC has clarified the distinction between the academic teaching period and the subsequent internship period.
| Component | Duration |
| Academic study | 4½ years (54 months) |
| Compulsory Rotating Medical Internship (CRMI) | 1 year |
| Total period | 5½ years |
The 5½-year figure therefore includes both the academic study period and the compulsory internship.
The NMC notice concerns the charging of fees for periods that do not constitute academic teaching. It specifically distinguishes the 4½-year academic period from the one-year compulsory rotating internship.
Students should therefore look carefully at the fee structure issued by their college and check how the institution has described the period for which tuition or academic fees are being charged.
If a fee demand includes an amount described as an internship fee, students should ask the institution for a written explanation and check the applicable NMC instructions.
Other charges, such as hostel or examination-related fees, may have separate rules and should be considered separately.
The notice issued by the NMC on 7th April, 2026, is in accordance with the National Medical Commission Act, 2019 and Competency Based Medical Education (CBME) Guidelines, 2024, in the Graduate Medical Education Regulations.
The notice also refers to Supreme Court decisions including:
The NMC notice states that fee structures should be reasonable, transparent and non-exploitative and should be related to the facilities and expenditure involved in conducting the course.
The notice also refers to proceedings in Abhishek Yadav v. Union of India, including issues concerning internship-related charges and non-payment of stipend.

Those applying for or pursuing MBBS admission should keep the following documents safe:
If the fee structure is unclear, ask the college to explain in writing what each charge covers and which period it relates to.
Students should also check the latest information issued by the NMC or the concerned authority and not rely on information shared by other students or third-party websites.
The NMC notice distinguishes the one-year compulsory rotating internship from the 4½-year academic study period and addresses concerns regarding internship-related charges.
If a student receives a fee demand for the internship period, the first step should be to obtain the demand and the applicable fee structure in writing. The student can then compare the information with the current NMC instructions and seek clarification from the institution.
Where a matter remains unresolved, the student can use the appropriate official grievance or regulatory channel.
No. The notice does not reduce the overall MBBS training period to 4½ years.
The distinction is between:
Together, these make up the commonly stated 5½-year MBBS training period.
The NMC notice is concerned with the fee charged for the MBBS course and the distinction between academic study and internship.
Hostel, examination, accommodation and other institutional charges may have separate fee structures or applicable rules. Students should check the official fee notification issued by their institution before making a payment.
Tip: For the most up to date information, refer to the NMC notifications that are uploaded on the NMC website.
The NMC notice of 7 April 2026 mainly recognizes the difference between the 4 1/2 year academic session and the one year compulsory rotating internship.
Prospective students and their parents should be aware that the fee quoted by a medical college is break up into different components and relate to different periods.
If there is any doubt regarding the charges collected for internship or the period for which tuition fee is charged, it is always advisable to get the clarification in writing from the concerned College/Institution. The recent directives of the NMC should also be consulted.
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The National Medical Commission (NMC) released a notification on 7 April 2026, specifying the time duration for which MBBS fee charging is permissible.It highlights the cases of medical institutes charging MBBS fees for periods beyond the duration of the academic study....