Medical Education Commission, established in 2018, is a Nepali government agency that has been approved by the Council of Ministers of Nepal . The Medical Education Commission conducts a single, unified entrance exam for multiple medical programs, streamlining the admission process.

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The Medical Education Common Entrance Examination for Bachelor Level Programs, abbreviated as MECEE BL, conducted by the Medical Education Commission of Nepal,  is a medical entrance examination held in Nepal for individuals aspiring to pursue health professional Education programs. This includes MBBS, BDS, BSc Nursing, BASLP, B.Perfusion Technology, BAMS, BNS, BSc MLT, BSc MIT, B.Pharm, B.Optometry, BPT and BPH programs.

Both foreign and Nepali applicants wishing to enroll in medical professional education programs must take the medical entrance exam. These medical programs are offered by various universities, affiliated colleges, and academies across Nepal.

MEC Syllabus for Bachelor Level Common Entrance Examination, 2020 (Revised 2026)
For conducting the Bachelor level common entrance examination, MEC prepared a common syllabus in consultation with experts from various institutions with experience in bachelor level entrance examination.

The official 2020 Medical Education Commission Syllabus which has been revised on 28 April 2026 ( 15 Baisakh 2083 BS) explains the Eligibility, Examination Format & Examination Weightage for Common Entrance Examination of Bachelor Level Programs.

Eligibility, Format & Weightage for Common Entrance Examination of Bachelor Level Programs
I. MBBS, BDS, BSc Nursing/BSc Midwifery, BASLP & B. Perfusion Technology Program

A. Eligibility
a. Candidates who have passed 10+2 Science or equivalent (with Physics, Chemistry and Biology) with 50% aggregate in total marks or with GPA 2.4
OR
Secured the percentage/GPA as mentioned above in regards to the certificate level programs with different grading system (e.g. A-Level)
OR
b. Passed the Health Science Proficiency Certificate Level /Diploma (General Medicine, Medical Lab Technology, Ophthalmic Science, Dental Science, Pharmacy, Ayurveda, Radiography, Physiotherapy) containing Physics, Chemistry and Biology with Certificate of Equivalence to Grade 12 Science program from National Examination Board  AND
Secured at least 50% aggregate in total marks both in Diploma and the Examination for equivalence AND
Registered in Nepal Health Professional Council or Nepal Pharmacy Council or Nepal Ayurveda Council as per related educational program.

B. Examination Format
a. Question type: Single best response type of multiple-choice questions
b. Option: Four options (A, B, C, D)
c. Number of questions: 200
d. Full marks: 200 with 0.25 mark deduction for each wrong response
e. Pass mark: 50th percentile
f. Difficulty level of the items from the time of question preparation should be at the ratio of 50:30:20 for recall, understanding and application level of the cognitive domain of learning
g. Duration: 3 hours

II. BAMS, BSc MLT, BSc MIT/ BSc Radiotherapy Technology, BPT, B Pharm & B Optometry Program
A. Eligibility
a. Candidates who have passed 10+2 Science or equivalent (with Physics, Chemistry and Biology) with 50% aggregate in total marks or GPA 2.4
OR
Secured the percentage/GPA as mentioned above in regards to the certificate level programs with different grading system (e.g. A-Level)
OR
b. Passed the Health Science Proficiency Certificate Level /Diploma (General Medicine, Medical Lab Technology, Ophthalmic Science, Dental Science, Pharmacy, Ayurveda, Radiography, Radiotherapy, Physiotherapy) containing Physics, Chemistry and Biology with Certificate of Equivalence to Grade 12 Science program from National Examination Board AND
Secured at least 50% aggregate in total marks both in Diploma and the Examination
for equivalence AND
Registered in Nepal Health Professional council or Nepal Pharmacy Council or Nepal Ayurveda Council as per related educational program.
OR
c. Passed the Health Science Proficiency Certificate/Diploma (Ayurveda, Medical Lab Technology, Radiography/Radiotherapy Technology Physiotherapy, Pharmacy and Ophthalmic Science) program with at least 50% aggregate in total marks AND
Registered in Nepal Ayurveda Council, Nepal Health Professional Council or Nepal Pharmacy Council as per related educational program.

B. Examination Format
a. Question type: Single best response type of multiple-choice questions
b. Option: Four options (A, B, C, D)
c. Number of questions: 200
d. Full marks: 200 with 0.25mark deduction for each wrong response
e. Pass mark: 50th percentile
f. Difficulty level of the items from the time of question preparation should be at the ratio of 50:30:20 for recall, understanding and application level of the cognitive domain of learning
g. Duration: 3 hours

III. BNS (Bachelor in Nursing Science)/BMS (Bachelor in Midwifery Science)
A. Eligibility
a. Candidates who have passed Proficiency Certificate Level/Diploma in Nursing securing at least 50% aggregate in total marks.
AND
b. Registered in Nepal Nursing Council

B. Examination Format
a. Question type: Single best response type of multiple-choice questions
b. Option: Four options (A, B, C, D)
c. Number of questions: 200
d. Full marks: 200 with 0.25 mark deduction for each wrong response
e. Pass mark: 50th percentile
f. Difficulty level of the items from the time of question preparation should be at the ratio of 50:30:20 for recall, understanding and application level of the cognitive domain of learning
g. Duration: 3 hours

Syllabus for Bachelor level Common Entrance Examination (2020 revised in 2026) Medical Education Commission
Bachelor Level Common Entrance Examination 2020
- First revised date: March 10, 2021
- Second revised date: August 18, 2025
- Third revised date: April 28, 2026
click [ HERE ] to download complete syllabus

Application Method
Application Method is Online via Commission’s official website: www.mec.gov.np   or https://entrance.mec.gov.np