KNRUHS Directs Medical Colleges to Collect MBBS 2026 Fees in Five Equal Instalments

Content Writer | Updated On - Apr 24, 2026

KNRUHS has directed all affiliated medical colleges to collect 4.5-year MBBS tuition fees in five equal instalments starting from April 21, 2026. The directive ensures students are charged only for the actual academic duration of 4.5 years, not five.

Kaloji Narayana Rao University of Health Sciences (KNRUHS) has issued a formal directive requiring all affiliated medical colleges to revise their fee collection methodology for MBBS students.

According to the official notification dated April 21, 2026, the total course fee for the 4.5-year MBBS program must be calculated based on the approved annual fee and divided into five equal instalments.

KNRUHS has mandated strict compliance and warned that any deviation from these instructions will invite regulatory action against non-compliant institutions.

The directive addresses concerns raised by the National Medical Commission (NMC) regarding medical colleges charging fees for the entire five or five-and-a-half-year course duration instead of the prescribed 4.5-year academic period.

KNRUHS clarified that the MBBS course comprises 4.5 years of academic study followed by one year of compulsory rotating internship (CRMI), for which no additional tuition fees should be charged.

The university emphasized that colleges must display fee details on notice boards and ensure complete transparency in fee collection to protect student interests.

KNRUHS MBBS 2026 Key Highlights

Description	Date / Information
NMC Public Notice (4.5 Year Fee Directive)	April 7, 2026
KNRUHS Official Notification (Lr.No.4488/KNRUHS/AC4/2026)	April 21, 2026
Implementation Status	Effective Immediately
Required Fee Structure	Five-instalment structure

Fee Calculation Based on Government Guidelines

The notification cites key regulatory frameworks, including Government Order Ms.No.106 issued by the Health Ministry on July 28, 2023, along with directives from the Telangana Admission and Fee Regulatory Committee (TAFRC).

It clarifies that the annual tuition fee must be multiplied by 4.5 years the official academic duration of the MBBS course to determine the total fee.

This amount should then be divided into five equal instalments, ensuring that students can pay in a structured and manageable manner rather than facing a heavy upfront financial burden.

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Strict Instructions to Medical Colleges on Fee Collection

Medical colleges have been directed to strictly follow the prescribed fee structure and avoid charging any additional fees, especially for the internship year.

The university has emphasized that the internship period is not to be included in tuition fee calculations.

Institutions must ensure transparency and compliance, as any violation of these instructions will attract strict action under existing rules and regulations.

No Extra Charges for Detained or Repeating Students

The guidelines also protect students who may be detained or required to repeat an academic year. In such cases, colleges are not allowed to impose additional tuition fees beyond the approved structure.

Since students would have already paid the full course fee in instalments, charging extra would be considered a violation. This provision safeguards students from financial exploitation during unforeseen academic delays.

NMC Directive on MBBS Course Duration and Fee Norms

The directive follows a public notice issued on April 7, 2026, by the National Medical Commission (NMC), which raised concerns about colleges charging fees for the entire course duration, including the internship year.

The NMC reiterated that, as per the National Medical Commission Act, 2019, and the Competency Based Medical Education (CBME) Guidelines, 2024, the MBBS course consists of 4.5 years of academic study plus one year of internship.

Any deviation from this structure in fee collection will be treated as non-compliance and may invite regulatory action.

Advisory for Students on Fee Verification and Transparency

Students admitted through KNRUHS counselling are advised to carefully verify their fee structure with their respective colleges.

They should ensure that they are charged only for the 4.5-year academic period and request written confirmation of the payment schedule before making any payments. In case of discrepancies, students are encouraged to approach the college administration or contact the university directly.

Additionally, all colleges have been instructed to display the official notification on notice boards to promote transparency and awareness among students.

What’s Next for Students

Students should carefully review their fee payment schedules and ensure colleges are following the five-instalment structure for the 4.5-year course duration. Any student facing pressure to pay fees for five or five-and-a-half years should immediately report the matter to KNRUHS authorities.

The university has made it clear that this directive protects student interests and ensures equitable fee distribution across the actual academic period.

Prospective MBBS students should verify the fee structure with colleges before admission to avoid financial disputes and ensure compliance with NMC and KNRUHS guidelines.