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Hi, I am a senior IMG, completed MBBS in 1993 and MD in 1999, now settled in USA (i.e. I am a citizen of USA). I am preparing for my USMLE step 1 and had applied for ECFMG certification with my final MBBS marks card, state registration and degree certificate (all from India but in English), but my aplication got rejected for the reason of not providing ECFMG with MBBS diploma. Could any one advise me what is this MBBS diploma?