Your access in Kerala depends on whether you hold domicile here. The paths differ in scope, rank, and fee.
Eligibility: Three-tier eligibility: Keralite (born in Kerala or Kerala-origin parents), NK-I (studied in Kerala schools), NK-II (non-domicile, eligible only for private management quota). 5 consecutive years of study in Kerala for full eligibility. Non-domicile candidates under NK-II category can apply for management quota in private colleges.
State-quota (domicile) · UR / OBC / SC / ST · 2025 allotment data
State-quota fee per year · management fee higher · NRI fee separate
| College | State quota fee | Mgmt fee | Closing rank (UR) |
|---|---|---|---|
| Sree Uthradom Thiurnal Academy of Medical Sciences, Trivandrum Trivandrum |
₹7.8L/yr | ₹7.8L/yr | 81,332 |
| Sree Gokulam Medical College Trust & Research Foundation, Trivandrum Trivandrum |
₹8.1L/yr | ₹8.1L/yr | 42,148 |
| Believers Church Medical College Hospital, Thiruvalla, Kerala Thiruvalla Kerala |
₹8.2L/yr | ₹8.2L/yr | 38,577 |
| Karuna Medical College, Palakkad Palakkad |
₹8.3L/yr | ₹8.3L/yr | 109,229 |
| KMCT Medical College, Kozhikode, Calicut Calicut |
₹8.5L/yr | ₹8.5L/yr | 65,238 |
| Mount Zion Medical College, Chayalode, Ezhamkulam Adoor, Pathanamthitta Pathanamthitta |
₹8.5L/yr | ₹8.5L/yr | 105,491 |
| Al-Azhar Medical College and Super Speciality Hospital, Thodupuzha Thodupuzha |
₹8.6L/yr | ₹8.6L/yr | 120,040 |
| Amala Institute of Medical Sciences, Thrissur Thrissur |
₹8.6L/yr | ₹8.6L/yr | 29,106 |
You are in 2 counselling processes.
Separate registration for each. Separate dates. Separate fee.
In Kerala, Commissioner for Entrance Examinations, Kerala (CEE Kerala) holds your state seats — 4 rounds (Trial Counselling (Mock), Phase 1 Allotment, Phase 2 Allotment, Mop-Up Round).
The steps, in order:
2026 change on MCC seats: After each allotment you now choose Freeze or Float. Freeze = accept and stop: you report once at the allotted college for document verification and fee, and you’re done. Float = accept but stay in line for a higher choice: under the 2026 reform you do not report physically while floating — your provisional admission stays valid online as you take the next rounds. Upgradation is open up to Round 3; after Round 3 anyone still holding a seat reports physically to finish.
This reform is MCC’s own — it covers AIQ, deemed and central seats only. Kerala’s own counselling (held by CEE Kerala) sets its own process; check with them for how upgrades work on your state seats.
Round 1 — you leave with your deposit, but you give up the seat: In Round 1, if you do not report to your allotted college, your Round 1 choices become null and void and you register fresh for Round 2. No deposit is forfeited in Round 1. However, you give up your Round 1 seat — if Round 2 allots lower or nothing, you cannot get it back.
Deposit (Round 2 onward): The deposit amount depends on seat type: AIQ Government seats — UR/EWS: ₹10,000; OBC/SC/ST reserved: ₹5,000. Deemed / Central University seats: ₹2,00,000. From Round 2 onward, not joining (no-show) after being allotted forfeits this deposit. Round 1 has no deposit forfeiture — you can exit with no penalty. State-quota seat deposits are governed by each state's counselling authority (e.g. KEA for Karnataka) and differ from MCC rules — verify with the state DME.
Upgrading — 2026 change on MCC seats: After each allotment you now choose Freeze or Float. Freeze = accept and stop: you report once at the allotted college for document verification and fee, and you’re done. Float = accept but stay in line for a higher choice: under the 2026 reform you do not report physically while floating — your provisional admission stays valid online as you take the next rounds. Upgradation is open up to Round 3; after Round 3 anyone still holding a seat reports physically to finish.
Exiting a seat: You can now resign (forego) an allotted seat online through the MCC portal, within the timeline — no physical visit to the college. The deposit rule is unchanged: exit in Round 1 and your security deposit is refunded — you give up the seat, not the money; the deposit is forfeited from Round 2.
Freeze/Float changed the reporting, not the money: in Round 1 you can exit and your security deposit is refunded — you give up the seat, not the money; from Round 2 the deposit is forfeited if you leave.
Kerala (CEE Kerala) seats — its own deposit rule: Nothing is payable to take part for the government quota. Nothing is payable to take part for the management quota at a private college. Nothing is taken up front, but discontinuing AFTER THE THIRD ALLOTMENT costs ₹10,00,000 in liquidated damages — the same for every candidate, whatever your income, nativity or category — and you can be barred from CEE exams and allotments for up to two years. Unpaid, it is recovered under the Revenue Recovery Act
Kerala government-seat bond: No compulsory service bond.
Kerala conducts its own NEET UG MBBS admissions through the Commissioner for Entrance Examinations, Kerala (CEE Kerala). This is entirely separate from MCC's All India Quota (AIQ) process. AIQ handles approximately 15% of government seats and all deemed university seats across India, with no domicile requirement. Kerala's own counselling handles the remaining ~85% of government seats within the state, plus all private MBBS colleges. It covers 4 rounds: Trial Counselling (Mock), Phase 1 Allotment, Phase 2 Allotment, Mop-Up Round.
The key difference most candidates miss: your AIR (All India Rank) determines your AIQ position. Kerala's counselling uses a separate state rank — in most states this is more accessible than AIQ for domicile candidates.
Bond: Kerala requires a rural service bond of No compulsory service bond for government MBBS seats. The penalty for breaking the bond is Rs 10,00,000 (only for seat discontinuation). Kerala does NOT have a mandatory UG service bond. Good internship stipend. Source: DME prospectus.
Ask anything about Kerala counselling — domicile eligibility, fees, bonds, which round to file for both routes.